KATHLEEN MARIE BROUSSARD Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014742

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

BROUSSARD

Business Name

KATHLEEN MARIE BROUSSARD

Original Issue Date

02/17/2022

Effective Date

12/28/2023

Expiration Date

12/31/2025

City

SHILOH

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/02/2025