AZALYN HICKMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012259

License Status

NOT RENEWED

Business

First Name

AZALYN

Last Name

HICKMAN

Business Name

AZALYN HICKMAN

Original Issue Date

11/16/2017

Effective Date

12/12/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022