LUZ M FRAGOZO Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003566

License Status

ACTIVE

Business

First Name

LUZ

Middle

Last Name

FRAGOZO

Business Name

LUZ M FRAGOZO

Original Issue Date

04/19/2012

Effective Date

11/07/2025

Expiration Date

12/31/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/07/2025