MADISON SHAY LAZENBY Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006216

License Status

ACTIVE

Business

First Name

MADISON

Middle

SHAY

Last Name

LAZENBY

Business Name

MADISON SHAY LAZENBY

Original Issue Date

04/09/2025

Effective Date

12/02/2025

Expiration Date

12/31/2027

City

CARY

State

Zip

60013

County

MCHENRY

Ever Disciplined

LastModifiedDate

12/02/2025