SAMANTHA KRISTINE RICHARDS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004661

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

KRISTINE

Last Name

RICHARDS

Business Name

SAMANTHA KRISTINE RICHARDS

Original Issue Date

02/09/2017

Effective Date

12/10/2019

Expiration Date

01/31/2022

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/18/2022