LISA MAE WANLESS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001952

License Status

ACTIVE

Business

First Name

LISA

Middle

MAE

Last Name

WANLESS

Business Name

LISA MAE WANLESS

Original Issue Date

11/05/1999

Effective Date

12/16/2025

Expiration Date

12/31/2027

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/16/2025