ELLEN M TANNER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007674

License Status

ACTIVE

Business

First Name

ELLEN

Middle

Last Name

TANNER

Business Name

ELLEN M TANNER

Original Issue Date

02/27/2006

Effective Date

12/27/2025

Expiration Date

12/31/2027

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/27/2025