MARCO ANTONIO VAZQUEZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011520

License Status

NOT RENEWED

Business

First Name

MARCO

Middle

ANTONIO

Last Name

VAZQUEZ

Business Name

MARCO ANTONIO VAZQUEZ

Original Issue Date

05/03/2016

Effective Date

12/19/2019

Expiration Date

01/31/2022

City

LOMBARD

State

Zip

60148

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022