LISA M MANGELSDORFF Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001348

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

MANGELSDORFF

Business Name

LISA M MANGELSDORFF

Original Issue Date

09/11/1996

Effective Date

11/23/2011

Expiration Date

12/31/2013

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

02/19/2014