KELLY ANN BRUKETTA Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012451

License Status

ACTIVE

Business

First Name

KELLY

Middle

ANN

Last Name

BRUKETTA

Business Name

KELLY ANN BRUKETTA

Original Issue Date

03/14/2018

Effective Date

12/09/2025

Expiration Date

12/31/2027

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

12/09/2025