LIA ELIZABETH POLUM Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008656

License Status

ACTIVE

Business

First Name

LIA

Middle

ELIZABETH

Last Name

POLUM

Business Name

LIA ELIZABETH POLUM

Original Issue Date

03/20/2009

Effective Date

11/20/2025

Expiration Date

12/31/2027

City

KENOSHA

State

Zip

53144

Ever Disciplined

LastModifiedDate

11/20/2025