THERESA BANZUELA Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004963

License Status

ACTIVE

Business

First Name

THERESA

Last Name

BANZUELA

Business Name

THERESA BANZUELA

Original Issue Date

05/15/2018

Effective Date

12/22/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2025