STEPHANIE MARIE LANE - Occupational Therapist License in Illinois | # 057004263

STEPHANIE MARIE LANE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004263

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

MARIE

Last Name

LANE

Business Name

STEPHANIE MARIE LANE

Original Issue Date

04/24/2015

Effective Date

12/21/2015

Expiration Date

12/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

04/10/2018