KIMBERLY ANN STACKOWICZ - Occupational Therapist License in Illinois | # 056015314

KIMBERLY ANN STACKOWICZ

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015314

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

ANN

Last Name

STACKOWICZ

Business Name

KIMBERLY ANN STACKOWICZ

Original Issue Date

02/22/2023

Effective Date

12/08/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026