ALEXANDRA KATHERINE KASAPOV Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015067

License Status

ACTIVE

Business

First Name

ALEXANDRA

Middle

KATHERINE

Last Name

KASAPOV

Business Name

ALEXANDRA KATHERINE KASAPOV

Original Issue Date

08/22/2022

Effective Date

12/10/2025

Expiration Date

12/31/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/10/2025