HOLLY ANNE DIERCKS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056017016

License Status

ACTIVE

Business

First Name

HOLLY

Middle

ANNE

Last Name

DIERCKS

Business Name

HOLLY ANNE DIERCKS

Original Issue Date

03/16/2026

Effective Date

03/16/2026

Expiration Date

12/31/2027

City

IRON MOUNTAIN

State

Zip

49801

Ever Disciplined

LastModifiedDate

03/16/2026