SAMUEL TODD MATHIS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003628

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

TODD

Last Name

MATHIS

Business Name

SAMUEL TODD MATHIS

Original Issue Date

08/02/2012

Effective Date

12/10/2025

Expiration Date

12/31/2027

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

12/10/2025