SAMANTHA COOPER LANE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013779

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

COOPER LANE

Business Name

SAMANTHA COOPER LANE

Original Issue Date

08/04/2020

Effective Date

12/31/2025

Expiration Date

12/31/2027

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

12/31/2025