TAYLOR MACKENZIE HEATH SOVA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011760

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

MACKENZIE HEATH

Last Name

SOVA

Business Name

TAYLOR MACKENZIE HEATH SOVA

Original Issue Date

11/07/2016

Effective Date

12/03/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022