BETHANY R KOKORUDZ Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004319

License Status

ACTIVE

Business

First Name

BETHANY

Middle

Last Name

KOKORUDZ

Business Name

BETHANY R KOKORUDZ

Original Issue Date

07/21/2015

Effective Date

12/29/2025

Expiration Date

12/31/2027

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

12/29/2025