LISA M KAMP Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000103

License Status

INACTIVE

Business

First Name

LISA M

Last Name

KAMP

Business Name

LISA M KAMP

Original Issue Date

05/01/1984

Effective Date

12/15/2023

Expiration Date

12/31/2025

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/15/2023