AMANDA JO BAUCOM Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011582

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

BAUCOM

Business Name

AMANDA JO BAUCOM

Original Issue Date

07/21/2016

Effective Date

11/06/2025

Expiration Date

12/31/2027

City

DE WITT

State

Zip

52742

Ever Disciplined

LastModifiedDate

11/06/2025