LISA K SKUNDRICH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001699

License Status

NOT RENEWED

Business

First Name

LISA K

Last Name

SKUNDRICH

Business Name

LISA K SKUNDRICH

Original Issue Date

03/09/1987

Expiration Date

12/31/1989

City

BELLEVILLE

State

Zip

62221

County

MADISON

Ever Disciplined

LastModifiedDate

07/28/2005