LISA M GRANTMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005527

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

GRANTMAN

Business Name

LISA M GRANTMAN

Original Issue Date

11/05/1999

Effective Date

12/10/2019

Expiration Date

01/31/2022

City

PHOENIX

State

Zip

85085

County

ARIZONA

Ever Disciplined

LastModifiedDate

05/18/2022