MADISON TAYLOR PURVIS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005694

License Status

ACTIVE

Business

First Name

MADISON

Middle

TAYLOR

Last Name

PURVIS

Business Name

MADISON TAYLOR PURVIS

Original Issue Date

11/08/2021

Effective Date

12/19/2025

Expiration Date

12/31/2027

City

FISHER

State

Zip

61843

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/19/2025