MELISSA DAWN BANWART - Occupational Therapist License in Illinois | # 057003158

MELISSA DAWN BANWART

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003158

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

DAWN

Last Name

BANWART

Business Name

MELISSA DAWN BANWART

Original Issue Date

08/26/2009

Effective Date

10/22/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026