LISA M FITZGERALD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002055

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

FITZGERALD

Business Name

LISA M FITZGERALD

Original Issue Date

09/19/1988

Expiration Date

12/31/1991

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/28/2005