ILSE GABRIELA GONGORA Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015867

License Status

ACTIVE

Business

First Name

ILSE

Middle

GABRIELA

Last Name

GONGORA

Business Name

ILSE GABRIELA GONGORA

Original Issue Date

01/04/2024

Effective Date

12/08/2025

Expiration Date

12/31/2027

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

12/08/2025