AZALIA ELIZABETH GONZALEZ - Occupational Therapist License in Illinois | # 056013560

AZALIA ELIZABETH GONZALEZ

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013560

License Status

NOT RENEWED

Business

N

First Name

AZALIA

Middle

ELIZABETH

Last Name

GONZALEZ

Business Name

AZALIA ELIZABETH GONZALEZ

Original Issue Date

03/27/2020

Effective Date

03/27/2020

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022