TRISHA MARIE MALLARE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016955

License Status

ACTIVE

Business

First Name

TRISHA

Middle

MARIE

Last Name

MALLARE

Business Name

TRISHA MARIE MALLARE

Original Issue Date

01/05/2026

Effective Date

01/05/2026

Expiration Date

12/31/2027

City

CHAMPAIGN

State

Zip

61822

County

ADAMS

Ever Disciplined

LastModifiedDate

01/05/2026