ETHAN ONEAL BOREN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011119

License Status

ACTIVE

Business

First Name

ETHAN

Middle

ONEAL

Last Name

BOREN

Business Name

ETHAN ONEAL BOREN

Original Issue Date

08/18/2015

Effective Date

10/03/2025

Expiration Date

12/31/2027

City

QUINCY

State

Zip

62301

Ever Disciplined

LastModifiedDate

10/03/2025