MALLORY BROOKE SCROGGINS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009181

License Status

ACTIVE

Business

First Name

MALLORY

Middle

BROOKE

Last Name

SCROGGINS

Business Name

MALLORY BROOKE SCROGGINS

Original Issue Date

10/08/2010

Effective Date

12/04/2025

Expiration Date

12/31/2027

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

12/04/2025