EMILY FAXON - Occupational Therapist License in Illinois | # 057005548

EMILY FAXON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005548

License Status

NOT RENEWED

Business

N

First Name

EMILY

Last Name

FAXON

Business Name

EMILY FAXON

Original Issue Date

03/02/2021

Effective Date

11/21/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026