DAVID MARK LIPANOT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008980

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

MARK

Last Name

LIPANOT

Business Name

DAVID MARK LIPANOT

Original Issue Date

03/12/2010

Effective Date

03/12/2010

Expiration Date

12/31/2011

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

02/08/2012