MARY M GREEN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005206

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

GREEN

Business Name

MARY M GREEN

Original Issue Date

06/05/2019

Effective Date

11/29/2025

Expiration Date

12/31/2027

City

LOVES PARK

State

Zip

61111

Ever Disciplined

LastModifiedDate

11/29/2025