RAVEN LASHELL LONG Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006618

License Status

ACTIVE

Business

First Name

RAVEN

Middle

LASHELL

Last Name

LONG

Business Name

RAVEN LASHELL LONG

Original Issue Date

08/07/2002

Effective Date

12/08/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60628

Ever Disciplined

LastModifiedDate

12/08/2025