BROCK RIPPLE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006096

License Status

ACTIVE

Business

First Name

BROCK

Last Name

RIPPLE

Business Name

BROCK RIPPLE

Original Issue Date

02/29/2024

Effective Date

12/01/2025

Expiration Date

12/31/2027

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

12/01/2025