LISA M JOHANNES - Occupational Therapist License in Illinois | # 056002688

LISA M JOHANNES

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002688

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

M

Last Name

JOHANNES

Business Name

LISA M JOHANNES

Original Issue Date

09/11/1991

Effective Date

10/25/2005

Expiration Date

12/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2008