MIAH K BALANAY Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015757

License Status

ACTIVE

Business

First Name

MIAH

Middle

Last Name

BALANAY

Business Name

MIAH K BALANAY

Original Issue Date

11/02/2023

Effective Date

12/29/2025

Expiration Date

12/31/2027

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/29/2025