PAMELA DENISE LONG Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004793

License Status

ACTIVE

Business

First Name

PAMELA DENISE

Last Name

LONG

Business Name

PAMELA DENISE LONG

Original Issue Date

05/04/1998

Effective Date

12/29/2025

Expiration Date

12/31/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

12/29/2025