Online License Verification

9/20/2024 1:41:46 PM


Last Name :  Ivy
First Name :  Brian W.
License # :  11254
Designation :  OT/L
License Issued On:   8/25/2023
License Expiration :  6/30/2025
Current Standing :  Good standing

Physical Address
4140 ParkLake Ave,
Suite 100
Raleigh, NC 27612
phone

Office 919-832-1380