License holder summary

BRODY JACK LEROY is a Occupational Therapy - Occupational Therapist licensed to practice in Utah. The address on file for BRODY JACK LEROY is CASTLE DALE, UT 845130322. This licensed professional license is current. The license was granted 06/21/2007 and expired on 05/31/2015.

Utah

Division of Occupational and Professional Licensing

BRODY JACK LEROY
Occupational Therapy - Occupational Therapist
License number
6653148-4201
Date granted
06/21/2007
Date expires
05/31/2015
Class
Occupational Therapy - Occupational Therapist
Status
Active
Address
CASTLE DALE, UT 845130322
utahlicensing.org
ID 29873891
LAST UPDATED 2026-04-06 07:49:49 UTC

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