CLARA N ELLIS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003044

License Status

ACTIVE

Business

First Name

CLARA

Middle

Last Name

ELLIS

Business Name

CLARA N ELLIS

Original Issue Date

03/10/1993

Effective Date

10/29/2025

Expiration Date

12/31/2027

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

10/29/2025