STEPHANIE M LAMPORT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002525

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

LAMPORT

Business Name

STEPHANIE M LAMPORT

Original Issue Date

07/06/2004

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

02/04/2010