TAMARA S PRUETZEL Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002499

License Status

ACTIVE

Business

First Name

TAMARA

Middle

Last Name

PRUETZEL

Business Name

TAMARA S PRUETZEL

Original Issue Date

03/08/2004

Effective Date

12/21/2023

Expiration Date

12/31/2025

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/02/2025