LISA M HUIZENGA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001816

License Status

INACTIVE

Business

First Name

LISA M

Last Name

HUIZENGA

Business Name

LISA M HUIZENGA

Original Issue Date

08/29/1987

Expiration Date

12/31/1987

City

CASCADE

State

Zip

80809

County

COLORADO

Ever Disciplined

LastModifiedDate

07/28/2005