ASHLEY ANN BLACK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002747

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

ANN

Last Name

BLACK

Business Name

ASHLEY ANN BLACK

Original Issue Date

08/08/2006

Effective Date

10/14/2025

Expiration Date

12/31/2027

City

ENFIELD

State

Zip

62835

County

WHITE

Ever Disciplined

LastModifiedDate

10/14/2025