LISA ANN BERLIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009674

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

BERLIN

Business Name

LISA ANN BERLIN

Original Issue Date

02/21/2012

Effective Date

02/21/2012

Expiration Date

12/31/2013

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

02/19/2014