MELISSA DAWN BANWART Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003158

License Status

ACTIVE

Business

First Name

MELISSA

Middle

DAWN

Last Name

BANWART

Business Name

MELISSA DAWN BANWART

Original Issue Date

08/26/2009

Effective Date

10/22/2023

Expiration Date

12/31/2025

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/02/2025