SUSAN MARIE BALTHAZOR Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002367

License Status

ACTIVE

Business

First Name

SUSAN MARIE

Last Name

BALTHAZOR

Business Name

SUSAN MARIE BALTHAZOR

Original Issue Date

04/21/1990

Effective Date

11/20/2025

Expiration Date

12/31/2027

City

PEOTONE

State

Zip

60468

County

WILL

Ever Disciplined

LastModifiedDate

11/20/2025