LISA T MILLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001255

License Status

NOT RENEWED

Business

First Name

LISA T

Last Name

MILLER

Business Name

LISA T MILLER

Original Issue Date

03/07/1996

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

OSWEGO

State

Zip

60543

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005