KELSEY NICOLE LANGE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016014

License Status

ACTIVE

Business

First Name

KELSEY

Middle

NICOLE

Last Name

LANGE

Business Name

KELSEY NICOLE LANGE

Original Issue Date

04/23/2024

Effective Date

11/24/2025

Expiration Date

12/31/2027

City

EAST DUBUQUE

State

Zip

61025

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

11/24/2025