TAYLOR DIANE COBLENTZ Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014826

License Status

ACTIVE

Business

First Name

TAYLOR

Middle

DIANE

Last Name

COBLENTZ

Business Name

TAYLOR DIANE COBLENTZ

Original Issue Date

03/16/2022

Effective Date

11/20/2025

Expiration Date

12/31/2027

City

PEOTONE

State

Zip

60468

Ever Disciplined

LastModifiedDate

11/20/2025