AMY S EIDEN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003974

License Status

ACTIVE

Business

First Name

AMY S

Last Name

EIDEN

Business Name

AMY S EIDEN

Original Issue Date

03/07/1996

Effective Date

11/05/2025

Expiration Date

12/31/2027

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/05/2025