SEONG EUN KIM Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011077

License Status

ACTIVE

Business

First Name

SEONG

Middle

EUN

Last Name

KIM

Business Name

SEONG EUN KIM

Original Issue Date

07/20/2015

Effective Date

12/13/2023

Expiration Date

12/31/2025

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/02/2025