KYLIE KATHRYN WIELGOPOLAN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010241

License Status

ACTIVE

Business

First Name

KYLIE

Middle

KATHRYN

Last Name

WIELGOPOLAN

Business Name

KYLIE KATHRYN WIELGOPOLAN

Original Issue Date

08/09/2013

Effective Date

12/05/2025

Expiration Date

12/31/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

12/05/2025