JENNA PHYLLIS MASS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013510

License Status

ACTIVE

Business

First Name

JENNA

Middle

PHYLLIS

Last Name

MASS

Business Name

JENNA PHYLLIS MASS

Original Issue Date

02/27/2020

Effective Date

12/04/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2025