MARY ELYSE FULLER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016759

License Status

ACTIVE

Business

First Name

MARY

Middle

ELYSE

Last Name

FULLER

Business Name

MARY ELYSE FULLER

Original Issue Date

09/04/2025

Effective Date

12/01/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/01/2025