MIRANDA NICOLE ODLE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004275

License Status

ACTIVE

Business

First Name

MIRANDA

Middle

NICOLE

Last Name

ODLE

Business Name

MIRANDA NICOLE ODLE

Original Issue Date

05/26/2015

Effective Date

12/20/2025

Expiration Date

12/31/2027

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

12/20/2025