DIANA W SMITH Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015768

License Status

ACTIVE

Business

First Name

DIANA W

Last Name

SMITH

Business Name

DIANA W SMITH

Original Issue Date

11/13/2023

Effective Date

12/19/2025

Expiration Date

12/31/2027

City

LAKE ST LOUIS

State

Zip

63367

Ever Disciplined

LastModifiedDate

12/19/2025