DALLAS WINSTON BASTILLO Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010307

License Status

ACTIVE

Business

First Name

DALLAS

Middle

WINSTON

Last Name

BASTILLO

Business Name

DALLAS WINSTON BASTILLO

Original Issue Date

09/19/2013

Effective Date

12/17/2025

Expiration Date

12/31/2027

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

12/17/2025