RONALD BENJAMIN KWAAK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005815

License Status

ACTIVE

Business

First Name

RONALD

Middle

BENJAMIN

Last Name

KWAAK

Business Name

RONALD BENJAMIN KWAAK

Original Issue Date

06/22/2022

Effective Date

12/03/2025

Expiration Date

12/31/2027

City

AUBURN

State

Zip

62615

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/03/2025