MARY KIMBERLEE BIRCHENOUGH Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010308

License Status

ACTIVE

Business

First Name

MARY

Middle

KIMBERLEE

Last Name

BIRCHENOUGH

Business Name

MARY KIMBERLEE BIRCHENOUGH

Original Issue Date

09/19/2013

Effective Date

10/03/2025

Expiration Date

12/31/2027

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/03/2025