BENNETT ISSAC CORNELIOUS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011968

License Status

ACTIVE

Business

First Name

BENNETT

Middle

ISSAC

Last Name

CORNELIOUS

Business Name

BENNETT ISSAC CORNELIOUS

Original Issue Date

04/12/2017

Effective Date

10/02/2025

Expiration Date

12/31/2027

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/02/2025