SAVANNAH LYN WALLACE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016022

License Status

ACTIVE

Business

First Name

SAVANNAH

Middle

LYN

Last Name

WALLACE

Business Name

SAVANNAH LYN WALLACE

Original Issue Date

05/07/2024

Effective Date

12/10/2025

Expiration Date

12/31/2027

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

12/10/2025