MYA EMILY WALLACE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006206

License Status

ACTIVE

Business

First Name

MYA

Middle

EMILY

Last Name

WALLACE

Business Name

MYA EMILY WALLACE

Original Issue Date

03/03/2025

Effective Date

12/31/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

12/31/2025