JUSTIN RYAN ROACH Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005116

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

RYAN

Last Name

ROACH

Business Name

JUSTIN RYAN ROACH

Original Issue Date

02/21/2019

Effective Date

10/25/2025

Expiration Date

12/31/2027

City

AUBURN

State

Zip

62615

Ever Disciplined

LastModifiedDate

10/25/2025