ETHAN L RIDENOUR Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004022

License Status

ACTIVE

Business

First Name

ETHAN

Middle

Last Name

RIDENOUR

Prefix

Business Name

ETHAN L RIDENOUR

Original Issue Date

04/10/2014

Effective Date

11/23/2025

Expiration Date

12/31/2027

City

CARROLLTON

State

Zip

62016

County

GREENE

Ever Disciplined

LastModifiedDate

11/23/2025