LAURIE DIANE HEAP Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001623

License Status

NOT RENEWED

Business

First Name

LAURIE DIANE

Last Name

HEAP

Business Name

LAURIE DIANE HEAP

Original Issue Date

10/03/1986

Effective Date

06/22/2004

Expiration Date

12/31/2005

City

LE ROY

State

Zip

61752

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/16/2006