SHAYDIE BROOKE RUSSELL Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005258

License Status

ACTIVE

Business

First Name

SHAYDIE

Middle

BROOKE

Last Name

RUSSELL

Business Name

SHAYDIE BROOKE RUSSELL

Original Issue Date

08/28/2019

Effective Date

12/01/2025

Expiration Date

12/31/2027

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

12/01/2025