KIRSTEN NICOLE STEVENSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006230

License Status

ACTIVE

Business

First Name

KIRSTEN

Middle

NICOLE

Last Name

STEVENSON

Business Name

KIRSTEN NICOLE STEVENSON

Original Issue Date

05/29/2025

Effective Date

12/03/2025

Expiration Date

12/31/2027

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/03/2025