MICHELLE FAITH GOLENIA - Occupational Therapist License in Illinois | # 057001862

MICHELLE FAITH GOLENIA

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001862

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

FAITH

Last Name

GOLENIA

Business Name

MICHELLE FAITH GOLENIA

Original Issue Date

05/12/1999

Effective Date

12/20/2017

Expiration Date

12/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2020