LISA M EDWARDS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001353

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

EDWARDS

Business Name

LISA M EDWARDS

Original Issue Date

09/11/1996

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/04/2010