RAVEN DARYA MANSOURI Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016931

License Status

ACTIVE

Business

First Name

RAVEN

Middle

DARYA

Last Name

MANSOURI

Business Name

RAVEN DARYA MANSOURI

Original Issue Date

12/05/2025

Effective Date

12/05/2025

Expiration Date

12/31/2027

City

PONTE VEDRA

State

Zip

32082

Ever Disciplined

LastModifiedDate

08/28/2025