SUSAN MICHELLE RANDALL Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005744

License Status

ACTIVE

Business

First Name

SUSAN

Middle

MICHELLE

Last Name

RANDALL

Business Name

SUSAN MICHELLE RANDALL

Original Issue Date

03/07/2022

Effective Date

12/07/2025

Expiration Date

12/31/2027

City

WHITE HALL

State

Zip

62092

County

GREENE

Ever Disciplined

LastModifiedDate

12/07/2025