SAMANTHA LAUREN WALLENBERG OTD Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013694

License Status

ACTIVE

Business

Title

OTD

First Name

SAMANTHA

Middle

LAUREN

Last Name

WALLENBERG

Business Name

SAMANTHA LAUREN WALLENBERG OTD

Original Issue Date

06/26/2020

Effective Date

11/18/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/18/2025