FANOR BENAVIDEZ Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005735

License Status

ACTIVE

Business

First Name

FANOR

Last Name

BENAVIDEZ

Business Name

FANOR BENAVIDEZ

Original Issue Date

02/17/2022

Effective Date

12/08/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60641

Ever Disciplined

LastModifiedDate

12/08/2025