KRISTINA MADLENE LONG Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014365

License Status

ACTIVE

Business

First Name

KRISTINA

Middle

MADLENE

Last Name

LONG

Business Name

KRISTINA MADLENE LONG

Original Issue Date

08/11/2021

Effective Date

11/29/2025

Expiration Date

12/31/2027

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

11/29/2025