CIA PASSIG CARPENTER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002645

License Status

ACTIVE

Business

First Name

CIA

Middle

PASSIG

Last Name

CARPENTER

Business Name

CIA PASSIG CARPENTER

Original Issue Date

08/22/1991

Effective Date

10/03/2023

Expiration Date

12/31/2025

City

CENTRALIA

State

Zip

62801

Ever Disciplined

LastModifiedDate

10/02/2025