MELISSA JAYNE BANEVICH Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005261

License Status

ACTIVE

Business

First Name

MELISSA

Middle

JAYNE

Last Name

BANEVICH

Business Name

MELISSA JAYNE BANEVICH

Original Issue Date

02/18/1999

Effective Date

12/28/2025

Expiration Date

12/31/2027

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

12/28/2025