KAYLA RAQUEL CHISM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014652

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

RAQUEL

Last Name

CHISM

Business Name

KAYLA RAQUEL CHISM

Original Issue Date

12/01/2021

Effective Date

12/01/2021

Expiration Date

12/31/2023

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2024