MACKENZIE GRAVELYN OT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013754

License Status

NOT RENEWED

Business

Title

First Name

MACKENZIE

Last Name

GRAVELYN

Business Name

MACKENZIE GRAVELYN OT

Original Issue Date

07/29/2020

Effective Date

07/29/2020

Expiration Date

01/31/2022

City

GRAND RAPIDS

State

Zip

49503

Ever Disciplined

LastModifiedDate

02/24/2025