SHAYLIE GRACE MILLER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006250

License Status

ACTIVE

Business

First Name

SHAYLIE

Middle

GRACE

Last Name

MILLER

Business Name

SHAYLIE GRACE MILLER

Original Issue Date

07/29/2025

Effective Date

12/19/2025

Expiration Date

12/31/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/19/2025