JERRY KEITH THOMAS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007564

License Status

ACTIVE

Business

First Name

JERRY

Middle

KEITH

Last Name

THOMAS

Business Name

JERRY KEITH THOMAS

Original Issue Date

09/28/2005

Effective Date

12/20/2023

Expiration Date

12/31/2025

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/02/2025