SAMANTHA NICOLE CLARK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004523

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

NICOLE

Last Name

CLARK

Business Name

SAMANTHA NICOLE CLARK

Original Issue Date

05/09/2016

Effective Date

02/23/2026

Expiration Date

12/31/2027

City

PROSPER

State

Zip

75078

Ever Disciplined

LastModifiedDate

02/23/2026