FAITH MACKENZIE GODDARD Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005621

License Status

ACTIVE

Business

First Name

FAITH

Middle

MACKENZIE

Last Name

GODDARD

Business Name

FAITH MACKENZIE GODDARD

Original Issue Date

07/23/2021

Effective Date

10/09/2025

Expiration Date

12/31/2027

City

VIENNA

State

Zip

62995

County

JOHNSON

Ever Disciplined

LastModifiedDate

10/09/2025