JADE KELLAN MARTIN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005317

License Status

ACTIVE

Business

First Name

JADE

Middle

KELLAN

Last Name

MARTIN

Business Name

JADE KELLAN MARTIN

Original Issue Date

10/31/2019

Effective Date

12/29/2025

Expiration Date

12/31/2027

City

DUQUOIN

State

Zip

62832

Ever Disciplined

LastModifiedDate

12/29/2025