AZALIA ELIZABETH GONZALEZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013560

License Status

NOT RENEWED

Business

First Name

AZALIA

Middle

ELIZABETH

Last Name

GONZALEZ

Business Name

AZALIA ELIZABETH GONZALEZ

Original Issue Date

03/27/2020

Effective Date

03/27/2020

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60622

Ever Disciplined

LastModifiedDate

05/18/2022