KELLY C RUSSELL Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014060

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

RUSSELL

Business Name

KELLY C RUSSELL

Original Issue Date

02/05/2021

Effective Date

10/28/2025

Expiration Date

12/31/2027

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

10/28/2025