ASHLEY ANNE TYRE RUSSELL Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008790

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

ANNE

Last Name

TYRE RUSSELL

Business Name

ASHLEY ANNE TYRE RUSSELL

Original Issue Date

09/01/2009

Effective Date

11/18/2023

Expiration Date

12/31/2025

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/02/2025