EMILY FAXON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005548

License Status

ACTIVE

Business

First Name

EMILY

Last Name

FAXON

Business Name

EMILY FAXON

Original Issue Date

03/02/2021

Effective Date

11/21/2023

Expiration Date

12/31/2025

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/02/2025