LISA A JOHNSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000694

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

JOHNSON

Business Name

LISA A JOHNSON

Original Issue Date

09/18/1990

Effective Date

11/25/2019

Expiration Date

01/31/2022

City

NORTH PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/18/2022