ELLEN R HAYNES Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009632

License Status

ACTIVE

Business

First Name

ELLEN

Middle

Last Name

HAYNES

Business Name

ELLEN R HAYNES

Original Issue Date

01/31/2012

Effective Date

11/12/2025

Expiration Date

12/31/2027

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

11/12/2025