LISA ANNE HAM Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009534

License Status

ACTIVE

Business

First Name

LISA

Middle

ANNE

Last Name

HAM

Business Name

LISA ANNE HAM

Original Issue Date

10/05/2011

Effective Date

12/27/2025

Expiration Date

12/31/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

12/27/2025