TAYLOR MACKENZIE HEATH SOVA - Occupational Therapist License in Illinois | # 056011760

TAYLOR MACKENZIE HEATH SOVA

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011760

License Status

NOT RENEWED

Business

N

First Name

TAYLOR

Middle

MACKENZIE HEATH

Last Name

SOVA

Business Name

TAYLOR MACKENZIE HEATH SOVA

Original Issue Date

11/07/2016

Effective Date

12/03/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022