TIMOTHY TELL SPIDLE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005556

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

TELL

Last Name

SPIDLE

Business Name

TIMOTHY TELL SPIDLE

Original Issue Date

03/11/2021

Effective Date

09/05/2024

Expiration Date

12/31/2025

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/02/2025