DAKOTA KYLIE THEOBALD Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014699

License Status

ACTIVE

Business

First Name

DAKOTA

Middle

KYLIE

Last Name

THEOBALD

Business Name

DAKOTA KYLIE THEOBALD

Original Issue Date

01/24/2022

Effective Date

12/26/2023

Expiration Date

12/31/2025

City

FRIENDSVILLE

State

Zip

37737

Ever Disciplined

LastModifiedDate

10/02/2025