MICHAEL HERZOG - Occupational Therapist License in Illinois | # 057005211

MICHAEL HERZOG

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005211

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Last Name

HERZOG

Business Name

MICHAEL HERZOG

Original Issue Date

06/20/2019

Effective Date

11/18/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022