KAITLYN M CARBALLO Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012410

License Status

ACTIVE

Business

First Name

KAITLYN

Middle

Last Name

CARBALLO

Business Name

KAITLYN M CARBALLO

Original Issue Date

02/26/2018

Effective Date

10/29/2025

Expiration Date

12/31/2027

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/29/2025