SAMANTHA IRENE SISTO Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015221

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

IRENE

Last Name

SISTO

Business Name

SAMANTHA IRENE SISTO

Original Issue Date

11/16/2022

Effective Date

12/03/2025

Expiration Date

12/31/2027

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

12/03/2025