LISA R CROUCH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000230

License Status

NOT RENEWED

Business

First Name

LISA R

Last Name

CROUCH

Business Name

LISA R CROUCH

Original Issue Date

08/08/1984

Expiration Date

12/31/1987

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/28/2005