LAVONNE E BROCK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000445

License Status

ACTIVE

Business

First Name

LAVONNE E

Last Name

BROCK

Business Name

LAVONNE E BROCK

Original Issue Date

04/11/1987

Effective Date

10/06/2025

Expiration Date

12/31/2027

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

10/06/2025