KATHLEEN MARY ELLIS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014420

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

MARY

Last Name

ELLIS

Business Name

KATHLEEN MARY ELLIS

Original Issue Date

08/27/2021

Effective Date

11/19/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

11/19/2025