LISA MARIE ELLIS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002374

License Status

ACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

ELLIS

Business Name

LISA MARIE ELLIS

Original Issue Date

10/11/2002

Effective Date

12/04/2025

Expiration Date

12/31/2027

City

HEYWORTH

State

Zip

61745

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/04/2025