JILL ELIZABETH POLOVICH Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014120

License Status

ACTIVE

Business

First Name

JILL

Middle

ELIZABETH

Last Name

POLOVICH

Business Name

JILL ELIZABETH POLOVICH

Original Issue Date

03/15/2021

Effective Date

10/02/2025

Expiration Date

12/31/2027

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

12/19/2025