TARA RYAN GRANDOLFO Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014147

License Status

ACTIVE

Business

First Name

TARA

Middle

RYAN

Last Name

GRANDOLFO

Business Name

TARA RYAN GRANDOLFO

Original Issue Date

03/31/2021

Effective Date

12/06/2025

Expiration Date

12/31/2027

City

WADSWORTH

State

Zip

60083

Ever Disciplined

LastModifiedDate

12/06/2025