THERESA J STODDARD Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007522

License Status

ACTIVE

Business

First Name

THERESA

Middle

Last Name

STODDARD

Business Name

THERESA J STODDARD

Original Issue Date

08/01/2005

Effective Date

12/12/2025

Expiration Date

12/31/2027

City

MT PULASKI

State

Zip

62548

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/12/2025