KELLY ANN EVAK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014932

License Status

ACTIVE

Business

First Name

KELLY

Middle

ANN

Last Name

EVAK

Business Name

KELLY ANN EVAK

Original Issue Date

06/22/2022

Effective Date

12/19/2023

Expiration Date

12/31/2025

City

LA VALLE

State

Zip

53941

Ever Disciplined

LastModifiedDate

10/02/2025