KRISTEN SUE CARLSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004634

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

SUE

Last Name

CARLSON

Business Name

KRISTEN SUE CARLSON

Original Issue Date

10/14/2016

Effective Date

12/31/2025

Expiration Date

12/31/2027

City

POLO

State

Zip

61064

County

OGLE

Ever Disciplined

LastModifiedDate

12/31/2025