CLARA GRACE MACK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016630

License Status

ACTIVE

Business

First Name

CLARA

Middle

GRACE

Last Name

MACK

Business Name

CLARA GRACE MACK

Original Issue Date

07/02/2025

Effective Date

10/16/2025

Expiration Date

12/31/2027

City

SAINT PAUL

State

Zip

55105

Ever Disciplined

LastModifiedDate

10/16/2025