MALLORY PAIGE TRAVIS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006239

License Status

ACTIVE

Business

First Name

MALLORY

Middle

PAIGE

Last Name

TRAVIS

Business Name

MALLORY PAIGE TRAVIS

Original Issue Date

06/24/2025

Effective Date

12/22/2025

Expiration Date

12/31/2027

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

12/22/2025