BROGAN J CANCIAMILLE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010232

License Status

ACTIVE

Business

First Name

BROGAN

Middle

Last Name

CANCIAMILLE

Business Name

BROGAN J CANCIAMILLE

Original Issue Date

07/25/2013

Effective Date

10/16/2025

Expiration Date

12/31/2027

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

10/16/2025