LISA L RACINE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010971

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

RACINE

Business Name

LISA L RACINE

Original Issue Date

03/24/2015

Effective Date

03/24/2015

Expiration Date

12/31/2015

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

02/08/2016