MADELEINE MICHELLE KOZAK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014066

License Status

ACTIVE

Business

First Name

MADELEINE

Middle

MICHELLE

Last Name

KOZAK

Business Name

MADELEINE MICHELLE KOZAK

Original Issue Date

02/10/2021

Effective Date

11/13/2025

Expiration Date

12/31/2027

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

11/13/2025