MAE MARIE LARSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008122

License Status

ACTIVE

Business

First Name

MAE

Middle

MARIE

Last Name

LARSON

Business Name

MAE MARIE LARSON

Original Issue Date

09/04/2007

Effective Date

12/06/2025

Expiration Date

12/31/2027

City

BELOIT

State

Zip

53511

Ever Disciplined

LastModifiedDate

12/06/2025