SAMANTHA TATE LUSTBADER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016637

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

TATE

Last Name

LUSTBADER

Business Name

SAMANTHA TATE LUSTBADER

Original Issue Date

07/14/2025

Effective Date

11/11/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/11/2025