MATTHEW LOREN HART Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005016

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

LOREN

Last Name

HART

Business Name

MATTHEW LOREN HART

Original Issue Date

10/08/1998

Effective Date

10/05/2025

Expiration Date

12/31/2027

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/05/2025