LISA LANE LIBMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000784

License Status

NOT RENEWED

Business

First Name

LISA LANE

Last Name

LIBMAN

Business Name

LISA LANE LIBMAN

Original Issue Date

07/17/1984

Effective Date

10/02/2009

Expiration Date

12/31/2011

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/08/2012