SHANNON LEE LANE - Occupational Therapist License in Illinois | # 057003012

SHANNON LEE LANE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003012

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

LEE

Last Name

LANE

Business Name

SHANNON LEE LANE

Original Issue Date

08/12/2008

Effective Date

04/10/2014

Expiration Date

12/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016