SUSAN S LAZAR Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000088

License Status

NOT RENEWED

Business

First Name

SUSAN S

Last Name

LAZAR

Business Name

SUSAN S LAZAR

Original Issue Date

04/12/1984

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005