TIMOTHY R WILD Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001263

License Status

ACTIVE

Business

First Name

TIMOTHY R

Last Name

WILD

Business Name

TIMOTHY R WILD

Original Issue Date

03/07/1996

Effective Date

12/05/2025

Expiration Date

12/31/2027

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/05/2025