LISA JANE MAXWELL - Occupational Therapist License in Illinois | # 056007655

LISA JANE MAXWELL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007655

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2012