ASHLEY DIANE TAVENNER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003031

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

DIANE

Last Name

TAVENNER

Business Name

ASHLEY DIANE TAVENNER

Original Issue Date

10/20/2008

Effective Date

12/12/2025

Expiration Date

12/31/2027

City

LUDLOW

State

Zip

60949

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/12/2025