LISA MARIE PARK - Occupational Therapist License in Illinois | # 056012361

LISA MARIE PARK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012361

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

MARIE

Last Name

PARK

Business Name

LISA MARIE PARK

Original Issue Date

01/29/2018

Effective Date

12/10/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026