JILLIAN WAGNER MALLEN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011403

License Status

ACTIVE

Business

First Name

JILLIAN

Middle

WAGNER

Last Name

MALLEN

Business Name

JILLIAN WAGNER MALLEN

Original Issue Date

02/23/2016

Effective Date

11/07/2025

Expiration Date

12/31/2027

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/07/2025