LISA D HEUERMANN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003736

License Status

NOT RENEWED

Business

First Name

LISA D

Last Name

HEUERMANN

Business Name

LISA D HEUERMANN

Original Issue Date

08/03/1995

Effective Date

12/06/2017

Expiration Date

12/31/2019

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/05/2020