JASON RYAN VILLANUEVA Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012102

License Status

ACTIVE

Business

First Name

JASON

Middle

RYAN

Last Name

VILLANUEVA

Business Name

JASON RYAN VILLANUEVA

Original Issue Date

09/11/2017

Effective Date

12/17/2025

Expiration Date

12/31/2027

City

WARRENVILLE

State

Zip

60555

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

12/17/2025