ELIZABETH MARY MUDD Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002137

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

MARY

Last Name

MUDD

Business Name

ELIZABETH MARY MUDD

Original Issue Date

11/22/2000

Effective Date

12/31/2025

Expiration Date

12/31/2027

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

12/31/2025