NIVEA LANESE GORDON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010873

License Status

ACTIVE

Business

First Name

NIVEA

Middle

LANESE

Last Name

GORDON

Business Name

NIVEA LANESE GORDON

Original Issue Date

01/07/2015

Effective Date

10/02/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

12/21/2025