ANDREW S VITALE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006904

License Status

ACTIVE

Business

First Name

ANDREW

Middle

Last Name

VITALE

Business Name

ANDREW S VITALE

Original Issue Date

06/24/2003

Effective Date

12/08/2025

Expiration Date

12/31/2027

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/08/2025