AVALON ARIELLE LANZ Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005222

License Status

ACTIVE

Business

First Name

AVALON

Middle

ARIELLE

Last Name

LANZ

Business Name

AVALON ARIELLE LANZ

Original Issue Date

07/17/2019

Effective Date

12/31/2025

Expiration Date

12/31/2027

City

WEST DUNDEE

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

12/31/2025