JENNIFER M MIX Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002462

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

MIX

Business Name

JENNIFER M MIX

Original Issue Date

09/03/2003

Effective Date

10/18/2023

Expiration Date

12/31/2025

City

MARICOPA

State

Zip

85138

Ever Disciplined

LastModifiedDate

10/02/2025