GRACE PHELAN MORMINO Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001778

License Status

ACTIVE

Business

First Name

GRACE PHELAN

Last Name

MORMINO

Business Name

GRACE PHELAN MORMINO

Original Issue Date

07/06/1987

Effective Date

10/15/2025

Expiration Date

12/31/2027

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2025