JAMIE CHANEL GOODYEAR Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013162

License Status

ACTIVE

Business

First Name

JAMIE

Middle

CHANEL

Last Name

GOODYEAR

Business Name

JAMIE CHANEL GOODYEAR

Original Issue Date

08/22/2019

Effective Date

12/28/2025

Expiration Date

12/31/2027

City

GRAND FORKS

State

Zip

58201

Ever Disciplined

LastModifiedDate

12/28/2025