AUDREY M FIELDS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009727

License Status

ACTIVE

Business

First Name

AUDREY

Middle

Last Name

FIELDS

Business Name

AUDREY M FIELDS

Original Issue Date

04/06/2012

Effective Date

11/03/2025

Expiration Date

12/31/2027

City

DYER

State

Zip

46311

Ever Disciplined

LastModifiedDate

11/03/2025