BRENT D MARCUSSEN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004793

License Status

ACTIVE

Business

First Name

BRENT

Middle

Last Name

MARCUSSEN

Business Name

BRENT D MARCUSSEN

Original Issue Date

08/08/2017

Effective Date

11/20/2025

Expiration Date

12/31/2027

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/20/2025