LISA MARIE OWEN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004221

License Status

INACTIVE

Business

First Name

LISA MARIE

Last Name

OWEN

Business Name

LISA MARIE OWEN

Original Issue Date

09/12/1996

Effective Date

11/09/2001

Expiration Date

12/31/2001

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005