STEPHANIE BACK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006263

License Status

ACTIVE

Business

First Name

STEPHANIE

Last Name

BACK

Business Name

STEPHANIE BACK

Original Issue Date

08/18/2025

Effective Date

12/23/2025

Expiration Date

12/31/2027

City

MELVIN

State

Zip

60952

County

FORD

Ever Disciplined

LastModifiedDate

12/23/2025