KALISTA G LUTES Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013554

License Status

ACTIVE

Business

First Name

KALISTA

Middle

Last Name

LUTES

Business Name

KALISTA G LUTES

Original Issue Date

03/23/2020

Effective Date

12/12/2025

Expiration Date

12/31/2027

City

THOMASBORO

State

Zip

61878

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/12/2025