BRYAN ANDREW SAMUEL Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010498

License Status

ACTIVE

Business

First Name

BRYAN

Middle

ANDREW

Last Name

SAMUEL

Business Name

BRYAN ANDREW SAMUEL

Original Issue Date

03/17/2014

Effective Date

12/24/2025

Expiration Date

12/31/2027

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/24/2025