MADISON LEE GREEN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006014

License Status

ACTIVE

Business

First Name

MADISON

Middle

LEE

Last Name

GREEN

Business Name

MADISON LEE GREEN

Original Issue Date

07/19/2023

Effective Date

12/09/2025

Expiration Date

12/31/2027

City

ARTHUR

State

Zip

61911

County

MOULTRIE

Ever Disciplined

LastModifiedDate

12/09/2025