CARLA VERONICA STURDIVANT Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001539

License Status

ACTIVE

Business

First Name

CARLA VERONICA

Last Name

STURDIVANT

Business Name

CARLA VERONICA STURDIVANT

Original Issue Date

11/12/1997

Effective Date

12/28/2025

Expiration Date

12/31/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/28/2025