BROOKE BLUM Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014982

License Status

ACTIVE

Business

First Name

BROOKE

Last Name

BLUM

Business Name

BROOKE BLUM

Original Issue Date

07/11/2022

Effective Date

12/18/2023

Expiration Date

12/31/2025

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

10/02/2025