ALISA M SHEA - Occupational Therapist License in Illinois | # 056004192

ALISA M SHEA

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004192

License Status

INACTIVE

Business

N

First Name

ALISA M

Last Name

SHEA

Business Name

ALISA M SHEA

Original Issue Date

09/12/1996

Effective Date

02/20/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005