TYRA FOWLER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005221

License Status

ACTIVE

Business

First Name

TYRA

Last Name

FOWLER

Business Name

TYRA FOWLER

Original Issue Date

06/22/2019

Effective Date

01/06/2026

Expiration Date

12/31/2027

City

SAINT ANN

State

Zip

63074

Ever Disciplined

LastModifiedDate

01/06/2026