KAITLYN NIKOLE CROWDER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016548

License Status

ACTIVE

Business

First Name

KAITLYN

Middle

NIKOLE

Last Name

CROWDER

Business Name

KAITLYN NIKOLE CROWDER

Original Issue Date

05/09/2025

Effective Date

10/23/2025

Expiration Date

12/31/2027

City

JACKSONVILLE

State

Zip

62650

County

MENARD

Ever Disciplined

LastModifiedDate

10/23/2025