MICKIE LYNN CLARK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005371

License Status

ACTIVE

Business

First Name

MICKIE

Middle

LYNN

Last Name

CLARK

Business Name

MICKIE LYNN CLARK

Original Issue Date

02/18/2020

Effective Date

12/22/2025

Expiration Date

12/31/2027

City

SOUTH JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

12/22/2025