LISA R CROUCH - Occupational Therapist License in Illinois | # 057000230

LISA R CROUCH

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000230

License Status

NOT RENEWED

Business

N

First Name

LISA R

Last Name

CROUCH

Business Name

LISA R CROUCH

Original Issue Date

08/08/1984

Expiration Date

12/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005