SUSAN ELIZABETH-GOLDAK WILFONG Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003852

License Status

ACTIVE

Business

First Name

SUSAN

Middle

ELIZABETH-GOLDAK

Last Name

WILFONG

Business Name

SUSAN ELIZABETH-GOLDAK WILFONG

Original Issue Date

07/10/2013

Effective Date

10/02/2025

Expiration Date

12/31/2027

City

SAINT LOUIS

State

Zip

63116

Ever Disciplined

LastModifiedDate

12/24/2025