BRANDI RENEE BROADDUS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005546

License Status

ACTIVE

Business

First Name

BRANDI

Middle

RENEE

Last Name

BROADDUS

Business Name

BRANDI RENEE BROADDUS

Original Issue Date

03/01/2021

Effective Date

10/08/2023

Expiration Date

12/31/2025

City

GIRARD

State

Zip

62640

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/02/2025