KYLE JOHN BLIEVERNICHT Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013320

License Status

ACTIVE

Business

First Name

KYLE

Middle

JOHN

Last Name

BLIEVERNICHT

Business Name

KYLE JOHN BLIEVERNICHT

Original Issue Date

10/10/2019

Effective Date

12/18/2025

Expiration Date

12/31/2027

City

SIGEL

State

Zip

62462

County

SHELBY

Ever Disciplined

LastModifiedDate

12/18/2025