LISA JANE MAXWELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007655

License Status

NOT RENEWED

Business

First Name

LISA

Middle

JANE

Last Name

MAXWELL

Business Name

LISA JANE MAXWELL

Original Issue Date

01/23/2006

Effective Date

10/13/2009

Expiration Date

12/31/2011

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

02/08/2012