LISA J P FOX Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004630

License Status

ACTIVE

Business

First Name

LISA J

Middle

Last Name

FOX

Business Name

LISA J P FOX

Original Issue Date

11/12/1997

Effective Date

12/07/2023

Expiration Date

12/31/2025

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/02/2025