LORI LYNN RUSSO - Occupational Therapist License in Wisconsin | # 056005658

LORI LYNN RUSSO

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005658

License Status

NOT RENEWED

Business

N

First Name

LORI

Middle

LYNN

Last Name

RUSSO

Business Name

LORI LYNN RUSSO

Original Issue Date

01/14/2000

Effective Date

02/27/2002

Expiration Date

12/31/2001

State

WI

Ever Disciplined

N

LastModifiedDate

09/11/2005