KIMBERLEY RENEE LISTER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001518

License Status

NOT RENEWED

Business

First Name

KIMBERLEY RENEE

Last Name

LISTER

Business Name

KIMBERLEY RENEE LISTER

Original Issue Date

10/22/1997

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005