MISTY L KING Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005570

License Status

ACTIVE

Business

First Name

MISTY

Middle

Last Name

KING

Business Name

MISTY L KING

Original Issue Date

11/05/1999

Effective Date

12/24/2025

Expiration Date

12/31/2027

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/24/2025