JAZMIN NICOLE CARRANZA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011692

License Status

NOT RENEWED

Business

First Name

JAZMIN

Middle

NICOLE

Last Name

CARRANZA

Business Name

JAZMIN NICOLE CARRANZA

Original Issue Date

09/28/2016

Effective Date

12/02/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022