HOLLY Y LUSA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001324

License Status

NOT RENEWED

Business

First Name

HOLLY Y

Last Name

LUSA

Business Name

HOLLY Y LUSA

Original Issue Date

07/12/1985

Effective Date

12/07/2021

Expiration Date

12/31/2023

City

CHICAGO

State

Zip

60641

Ever Disciplined

LastModifiedDate

03/28/2024