MALLORY RENNER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015363

License Status

INACTIVE

Business

First Name

MALLORY

Last Name

RENNER

Business Name

MALLORY RENNER

Original Issue Date

03/23/2023

Effective Date

12/18/2023

Expiration Date

12/31/2025

City

ANKENY

State

Zip

50021

Ever Disciplined

LastModifiedDate

12/30/2025