TRACY D SHEPHERD Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003825

License Status

ACTIVE

Business

First Name

TRACY D

Last Name

SHEPHERD

Business Name

TRACY D SHEPHERD

Original Issue Date

09/20/1995

Effective Date

12/31/2025

Expiration Date

12/31/2027

City

LYNN CENTER

State

Zip

61262

County

HENRY

Ever Disciplined

LastModifiedDate

12/31/2025