ALLISON DIANE POLING Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002078

License Status

ACTIVE

Business

First Name

ALLISON

Middle

DIANE

Last Name

POLING

Business Name

ALLISON DIANE POLING

Original Issue Date

08/16/2000

Effective Date

10/24/2023

Expiration Date

12/31/2025

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

10/02/2025