MYA EMILY WALLACE - Occupational Therapist License in Illinois | # 057006206

MYA EMILY WALLACE

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006206

License Status

ACTIVE

Business

N

First Name

MYA

Middle

EMILY

Last Name

WALLACE

Business Name

MYA EMILY WALLACE

Original Issue Date

03/03/2025

Effective Date

12/31/2025

Expiration Date

12/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

12/31/2025