KAYLA LENISE SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011703

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

LENISE

Last Name

SMITH

Business Name

KAYLA LENISE SMITH

Original Issue Date

09/30/2016

Effective Date

12/04/2017

Expiration Date

12/31/2019

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2020