MALLORY JO EDWARDS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005486

License Status

ACTIVE

Business

First Name

MALLORY

Middle

Last Name

EDWARDS

Business Name

MALLORY JO EDWARDS

Original Issue Date

10/09/2020

Effective Date

10/02/2025

Expiration Date

12/31/2027

City

SMITHSHIRE

State

Zip

61478

County

WARREN

Ever Disciplined

LastModifiedDate

12/14/2025