JACOB TIMOTHY ANHALT Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016355

License Status

ACTIVE

Business

First Name

JACOB

Middle

TIMOTHY

Last Name

ANHALT

Business Name

JACOB TIMOTHY ANHALT

Original Issue Date

12/10/2024

Effective Date

12/14/2025

Expiration Date

12/31/2027

City

ELK GROVE VILLAGE

State

Zip

60007

County

ADAMS

Ever Disciplined

LastModifiedDate

12/14/2025