JUSTIN LEE NELSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013189

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

LEE

Last Name

NELSON

Business Name

JUSTIN LEE NELSON

Original Issue Date

08/28/2019

Effective Date

10/27/2025

Expiration Date

12/31/2027

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/27/2025