DIANE I BOTMA Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002032

License Status

ACTIVE

Business

First Name

DIANE

Middle

Last Name

BOTMA

Business Name

DIANE I BOTMA

Original Issue Date

05/18/2000

Effective Date

12/30/2025

Expiration Date

12/31/2027

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

12/30/2025