LISA KRISTIN GRIZZLE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005809

License Status

ACTIVE

Business

First Name

LISA

Middle

KRISTIN

Last Name

GRIZZLE

Business Name

LISA KRISTIN GRIZZLE

Original Issue Date

06/09/2022

Effective Date

12/30/2025

Expiration Date

12/31/2027

City

PEOSTA

State

Zip

52068

Ever Disciplined

LastModifiedDate

12/30/2025