KRISTEN DIANE BRANDT Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006893

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

DIANE

Last Name

BRANDT

Business Name

KRISTEN DIANE BRANDT

Original Issue Date

06/03/2003

Effective Date

10/13/2025

Expiration Date

12/31/2027

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

10/13/2025