ADRIENNE JADE SAMUEL Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010875

License Status

ACTIVE

Business

First Name

ADRIENNE

Middle

JADE

Last Name

SAMUEL

Business Name

ADRIENNE JADE SAMUEL

Original Issue Date

01/09/2015

Effective Date

12/24/2025

Expiration Date

12/31/2027

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/24/2025