MAKEESA SHALAE MONTGOMERY Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006166

License Status

ACTIVE

Business

First Name

MAKEESA

Middle

SHALAE

Last Name

MONTGOMERY

Business Name

MAKEESA SHALAE MONTGOMERY

Original Issue Date

08/27/2024

Effective Date

08/27/2024

Expiration Date

12/31/2025

City

BUHL

State

Zip

83316

Ever Disciplined

LastModifiedDate

10/02/2025