MADISEN GRACE MUSGROVE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016793

License Status

ACTIVE

Business

First Name

MADISEN

Middle

GRACE

Last Name

MUSGROVE

Business Name

MADISEN GRACE MUSGROVE

Original Issue Date

09/26/2025

Effective Date

11/06/2025

Expiration Date

12/31/2027

City

POWAY

State

Zip

92064

Ever Disciplined

LastModifiedDate

11/06/2025