CARISSA DAWN MONTAGUE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013831

License Status

ACTIVE

Business

First Name

CARISSA

Middle

DAWN

Last Name

MONTAGUE

Business Name

CARISSA DAWN MONTAGUE

Original Issue Date

09/08/2020

Effective Date

12/09/2025

Expiration Date

12/31/2027

City

GRAND RAPIDS

State

Zip

49504

Ever Disciplined

LastModifiedDate

12/09/2025