STEPHANIE SAMANTHA TKACZYK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014924

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

SAMANTHA

Last Name

TKACZYK

Business Name

STEPHANIE SAMANTHA TKACZYK

Original Issue Date

06/08/2022

Effective Date

10/16/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60622

Ever Disciplined

LastModifiedDate

10/16/2025