TYRA FOWLER Occupational Therapist License verification

Business Entity

INOPERATIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006164

License Status

INOPERATIVE

Business

First Name

TYRA

Last Name

FOWLER

Business Name

TYRA FOWLER

Original Issue Date

08/26/2024

Effective Date

08/26/2024

Expiration Date

12/31/2025

City

SAINT ANN

State

Zip

63074

Ever Disciplined

LastModifiedDate

10/02/2025