SANDRA M MEDINA Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002718

License Status

ACTIVE

Business

First Name

SANDRA

Middle

Last Name

MEDINA

Business Name

SANDRA M MEDINA

Original Issue Date

06/20/2006

Effective Date

12/29/2025

Expiration Date

12/31/2027

City

URBANA

State

Zip

61802

County

DOUGLAS

Ever Disciplined

LastModifiedDate

12/29/2025