MARY HELEN VANDENBERGH Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006220

License Status

ACTIVE

Business

First Name

MARY

Middle

HELEN

Last Name

VANDENBERGH

Business Name

MARY HELEN VANDENBERGH

Original Issue Date

04/11/2025

Effective Date

12/03/2025

Expiration Date

12/31/2027

City

WITT

State

Zip

62094

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

12/03/2025