CAROL G BAZAN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001727

License Status

ACTIVE

Business

First Name

CAROL

Middle

Last Name

BAZAN

Business Name

CAROL G BAZAN

Original Issue Date

07/13/1998

Effective Date

10/20/2025

Expiration Date

12/31/2027

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2025