TRACI LYNN KANALLAKAN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004677

License Status

ACTIVE

Business

First Name

TRACI

Middle

LYNN

Last Name

KANALLAKAN

Business Name

TRACI LYNN KANALLAKAN

Original Issue Date

03/07/2017

Effective Date

12/13/2025

Expiration Date

12/31/2027

City

FIELDON

State

Zip

62031

County

JERSEY

Ever Disciplined

LastModifiedDate

12/13/2025