KIRSTEN ELIZABETH BORK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012209

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Middle

ELIZABETH

Last Name

BORK

Business Name

KIRSTEN ELIZABETH BORK

Original Issue Date

10/19/2017

Effective Date

12/09/2019

Expiration Date

01/31/2022

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

05/18/2022