KRISTIN ANNE HAGEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012318

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

ANNE

Last Name

HAGEN

Business Name

KRISTIN ANNE HAGEN

Original Issue Date

12/26/2017

Effective Date

12/09/2019

Expiration Date

01/31/2022

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022