KACY ALEXANDRIA PHILLIPS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002682

License Status

ACTIVE

Business

First Name

KACY

Middle

ALEXANDRIA

Last Name

PHILLIPS

Business Name

KACY ALEXANDRIA PHILLIPS

Original Issue Date

03/20/2006

Effective Date

10/02/2025

Expiration Date

12/31/2027

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/02/2025