ELEANOR WILD Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013033

License Status

ACTIVE

Business

First Name

ELEANOR

Last Name

WILD

Business Name

ELEANOR WILD

Original Issue Date

04/12/2019

Effective Date

01/01/2024

Expiration Date

12/31/2025

City

SPRINGFIELD

State

Zip

62704

Ever Disciplined

LastModifiedDate

10/02/2025