ALEXIS NICOLE LILLY - Occupational Therapist License in West Virginia | # 056009068

ALEXIS NICOLE LILLY

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009068

License Status

NOT RENEWED

Business

N

First Name

ALEXIS

Middle

NICOLE

Last Name

LILLY

Business Name

ALEXIS NICOLE LILLY

Original Issue Date

07/08/2010

Effective Date

07/08/2010

Expiration Date

12/31/2011

State

WV

Ever Disciplined

N

LastModifiedDate

02/08/2012