MAVIS A TATE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004655

License Status

ACTIVE

Business

First Name

MAVIS

Middle

Last Name

TATE

Business Name

MAVIS A TATE

Original Issue Date

11/12/1997

Effective Date

12/05/2023

Expiration Date

12/31/2025

City

OWENSVILLE

State

Zip

47665

Ever Disciplined

LastModifiedDate

10/02/2025