EVAN JAHUE BULLOCK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006244

License Status

ACTIVE

Business

First Name

EVAN

Middle

JAHUE

Last Name

BULLOCK

Business Name

EVAN JAHUE BULLOCK

Original Issue Date

07/21/2025

Effective Date

11/04/2025

Expiration Date

12/31/2027

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/04/2025