LISA EBERLIN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000122

License Status

INACTIVE

Business

First Name

LISA

Last Name

EBERLIN

Business Name

LISA EBERLIN

Original Issue Date

05/01/1984

Expiration Date

12/31/1995

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

07/28/2005