ELIZABETH RENAE BIRDSELL Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015958

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

RENAE

Last Name

BIRDSELL

Business Name

ELIZABETH RENAE BIRDSELL

Original Issue Date

03/15/2024

Effective Date

12/10/2025

Expiration Date

12/31/2027

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

12/10/2025