LARISSA NICHOLE OLLER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003503

License Status

ACTIVE

Business

First Name

LARISSA

Middle

NICHOLE

Last Name

OLLER

Business Name

LARISSA NICHOLE OLLER

Original Issue Date

12/29/2011

Effective Date

12/29/2025

Expiration Date

12/31/2027

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/29/2025