ELIZABETH MARY BERGEN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012712

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

MARY

Last Name

BERGEN

Business Name

ELIZABETH MARY BERGEN

Original Issue Date

10/13/2018

Effective Date

11/17/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60622

Ever Disciplined

LastModifiedDate

11/17/2025