CAMERON THERESE BALOG Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016241

License Status

ACTIVE

Business

First Name

CAMERON

Middle

THERESE

Last Name

BALOG

Business Name

CAMERON THERESE BALOG

Original Issue Date

09/21/2024

Effective Date

10/09/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2025