PENNY LYNN ALSUP Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004103

License Status

ACTIVE

Business

First Name

PENNY LYNN

Last Name

ALSUP

Business Name

PENNY LYNN ALSUP

Original Issue Date

07/19/1996

Effective Date

12/24/2023

Expiration Date

12/31/2025

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/02/2025