LISA TAMI WAKEMAN - Occupational Therapist License in Illinois | # 056003208

LISA TAMI WAKEMAN

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003208

License Status

INACTIVE

Business

N

First Name

LISA TAMI

Last Name

WAKEMAN

Business Name

LISA TAMI WAKEMAN

Original Issue Date

09/09/1993

Effective Date

06/10/2004

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/25/2005