ANGIE BROCKMEYER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003302

License Status

ACTIVE

Business

First Name

ANGIE

Last Name

BROCKMEYER

Business Name

ANGIE BROCKMEYER

Original Issue Date

09/15/2010

Effective Date

04/03/2025

Expiration Date

12/31/2025

City

AVA

State

Zip

62907

Ever Disciplined

LastModifiedDate

04/03/2025