ANDRE DIVINE DOMINGOS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005976

License Status

ACTIVE

Business

First Name

ANDRE

Middle

DIVINE

Last Name

DOMINGOS

Business Name

ANDRE DIVINE DOMINGOS

Original Issue Date

04/10/2023

Effective Date

12/27/2023

Expiration Date

12/31/2025

City

OLNEY

State

Zip

20832

Ever Disciplined

LastModifiedDate

10/02/2025