HOLLY L WAGGONER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005036

License Status

ACTIVE

Business

First Name

HOLLY L

Last Name

WAGGONER

Business Name

HOLLY L WAGGONER

Original Issue Date

09/24/2018

Effective Date

10/02/2025

Expiration Date

12/31/2027

City

TRIVOLI

State

Zip

61569

County

PEORIA

Ever Disciplined

LastModifiedDate

10/02/2025