KELLY NICOLE TRISTAN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015147

License Status

ACTIVE

Business

First Name

KELLY

Middle

NICOLE

Last Name

TRISTAN

Business Name

KELLY NICOLE TRISTAN

Original Issue Date

10/05/2022

Effective Date

12/01/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

12/01/2025