SAMANTHA LANE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005334

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

LANE

Business Name

SAMANTHA LANE

Original Issue Date

11/26/2019

Effective Date

12/15/2023

Expiration Date

12/31/2025

City

ADDISON

State

Zip

35540

Ever Disciplined

LastModifiedDate

10/02/2025