AMANDA LYNN BALLARD Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008907

License Status

ACTIVE

Business

First Name

AMANDA

Middle

LYNN

Last Name

BALLARD

Business Name

AMANDA LYNN BALLARD

Original Issue Date

12/29/2009

Effective Date

10/19/2025

Expiration Date

12/31/2027

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/19/2025