SUSAN ALLENE PETERSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004614

License Status

ACTIVE

Business

First Name

SUSAN ALLENE

Last Name

PETERSON

Business Name

SUSAN ALLENE PETERSON

Original Issue Date

11/12/1997

Effective Date

11/17/2025

Expiration Date

12/31/2027

City

CRESTWOOD

State

Zip

60418

Ever Disciplined

LastModifiedDate

11/17/2025