SAMANTHA ARLENE MATHISON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006193

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

ARLENE

Last Name

MATHISON

Business Name

SAMANTHA ARLENE MATHISON

Original Issue Date

12/11/2024

Effective Date

11/29/2025

Expiration Date

12/31/2027

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/29/2025