BRANNON MITCHEL SMITH Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004329

License Status

ACTIVE

Business

First Name

BRANNON

Middle

MITCHEL

Last Name

SMITH

Business Name

BRANNON MITCHEL SMITH

Original Issue Date

08/10/2015

Effective Date

11/18/2025

Expiration Date

12/31/2027

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

11/18/2025