JENNIFER MARIE STARK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005604

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

MARIE

Last Name

STARK

Business Name

JENNIFER MARIE STARK

Original Issue Date

06/17/2021

Effective Date

11/26/2025

Expiration Date

12/31/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/26/2025