MARC DOUGLAS SMITH Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005287

License Status

ACTIVE

Business

First Name

MARC

Middle

DOUGLAS

Last Name

SMITH

Business Name

MARC DOUGLAS SMITH

Original Issue Date

09/23/2019

Effective Date

12/14/2025

Expiration Date

12/31/2027

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

12/14/2025