MIRIAM R ALLEN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013042

License Status

ACTIVE

Business

First Name

MIRIAM

Middle

Last Name

ALLEN

Business Name

MIRIAM R ALLEN

Original Issue Date

04/18/2019

Effective Date

12/02/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

12/02/2025