HOLLY MAE MELLENTHIN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002654

License Status

ACTIVE

Business

First Name

HOLLY

Middle

MAE

Last Name

MELLENTHIN

Business Name

HOLLY MAE MELLENTHIN

Original Issue Date

12/12/2005

Effective Date

12/23/2025

Expiration Date

12/31/2027

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

12/23/2025