KELLY A CROTZ Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001213

License Status

ACTIVE

Business

First Name

KELLY A

Last Name

CROTZ

Business Name

KELLY A CROTZ

Original Issue Date

01/17/1996

Effective Date

11/28/2025

Expiration Date

12/31/2027

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

11/28/2025