LISA M KEUNE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000531

License Status

INACTIVE

Business

First Name

LISA M

Last Name

KEUNE

Business Name

LISA M KEUNE

Original Issue Date

09/03/1988

Effective Date

12/01/2003

Expiration Date

12/31/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/25/2005