AMBER MICHELLE MOUTRIA Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004682

License Status

ACTIVE

Business

First Name

AMBER

Middle

MICHELLE

Last Name

MOUTRIA

Business Name

AMBER MICHELLE MOUTRIA

Original Issue Date

03/13/2017

Effective Date

12/11/2025

Expiration Date

12/31/2027

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

12/11/2025