MICHELLE FAITH GOLENIA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001862

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

FAITH

Last Name

GOLENIA

Business Name

MICHELLE FAITH GOLENIA

Original Issue Date

05/12/1999

Effective Date

12/20/2017

Expiration Date

12/31/2019

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2020