CARLY JEAN CARLISLE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011096

License Status

ACTIVE

Business

First Name

CARLY

Middle

JEAN

Last Name

CARLISLE

Business Name

CARLY JEAN CARLISLE

Original Issue Date

08/10/2015

Effective Date

12/16/2025

Expiration Date

12/31/2027

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

12/16/2025