JILL GRULKE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003729

License Status

ACTIVE

Business

First Name

JILL

Last Name

GRULKE

Business Name

JILL GRULKE

Original Issue Date

01/28/2013

Effective Date

12/05/2023

Expiration Date

12/31/2025

City

MADISON

State

Zip

53714

County

LAKE

Ever Disciplined

LastModifiedDate

10/02/2025