AUSTYNNE NEWBERG BOULTON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012332

License Status

ACTIVE

Business

First Name

AUSTYNNE

Middle

NEWBERG

Last Name

BOULTON

Business Name

AUSTYNNE NEWBERG BOULTON

Original Issue Date

01/16/2018

Effective Date

11/10/2025

Expiration Date

12/31/2027

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

11/10/2025