DIANA M BLACKWELL Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002184

License Status

ACTIVE

Business

First Name

DIANA

Middle

Last Name

BLACKWELL

Business Name

DIANA M BLACKWELL

Original Issue Date

05/09/2001

Effective Date

12/31/2025

Expiration Date

12/31/2027

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/31/2025