LISA TAMI WAKEMAN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003208

License Status

INACTIVE

Business

First Name

LISA TAMI

Last Name

WAKEMAN

Business Name

LISA TAMI WAKEMAN

Original Issue Date

09/09/1993

Effective Date

06/10/2004

Expiration Date

12/31/2005

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/25/2005