MARISA LYNN LEITNER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005282

License Status

NOT RENEWED

Business

First Name

MARISA

Middle

LYNN

Last Name

LEITNER

Business Name

MARISA LYNN LEITNER

Original Issue Date

03/19/1999

Effective Date

10/08/2009

Expiration Date

12/31/2011

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

02/08/2012