KAITLYN NICOLE LEE BANGERT Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005173

License Status

ACTIVE

Business

First Name

KAITLYN

Middle

NICOLE LEE

Last Name

BANGERT

Business Name

KAITLYN NICOLE LEE BANGERT

Original Issue Date

04/09/2019

Effective Date

10/03/2025

Expiration Date

12/31/2027

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/03/2025