LEESA M TIPTON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000141

License Status

INACTIVE

Business

First Name

LEESA M

Last Name

TIPTON

Business Name

LEESA M TIPTON

Original Issue Date

08/08/1984

Effective Date

02/05/2004

Expiration Date

12/31/2003

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/11/2005