LISA FERGUSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003922

License Status

NOT RENEWED

Business

First Name

LISA

Last Name

FERGUSON

Business Name

LISA FERGUSON

Original Issue Date

01/09/1996

Expiration Date

12/31/1997

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

07/28/2005