LISA MICHELLE MCFARLIN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001969

License Status

INACTIVE

Business

First Name

LISA

Middle

MICHELLE

Last Name

MCFARLIN

Business Name

LISA MICHELLE MCFARLIN

Original Issue Date

11/05/1999

Effective Date

02/05/2004

Expiration Date

12/31/2003

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005