ALISA M SHEA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004192

License Status

INACTIVE

Business

First Name

ALISA M

Last Name

SHEA

Business Name

ALISA M SHEA

Original Issue Date

09/12/1996

Effective Date

02/20/2004

Expiration Date

12/31/2003

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005