MICHAEL HERZOG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005211

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

HERZOG

Business Name

MICHAEL HERZOG

Original Issue Date

06/20/2019

Effective Date

11/18/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022