HOLLIE JEAN MONTENEGRO Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004143

License Status

ACTIVE

Business

First Name

HOLLIE

Middle

JEAN

Last Name

MONTENEGRO

Business Name

HOLLIE JEAN MONTENEGRO

Original Issue Date

09/29/2014

Effective Date

12/16/2025

Expiration Date

12/31/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/16/2025