KAYLA RAQUEL CHISM - Occupational Therapist License in Illinois | # 056014652

KAYLA RAQUEL CHISM

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014652

License Status

NOT RENEWED

Business

N

First Name

KAYLA

Middle

RAQUEL

Last Name

CHISM

Business Name

KAYLA RAQUEL CHISM

Original Issue Date

12/01/2021

Effective Date

12/01/2021

Expiration Date

12/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2024