TINA LYNN LOCHBAUM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002894

License Status

NOT RENEWED

Business

First Name

TINA

Middle

LYNN

Last Name

LOCHBAUM

Business Name

TINA LYNN LOCHBAUM

Original Issue Date

11/01/2007

Effective Date

11/01/2019

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61612

County

PEORIA

Ever Disciplined

LastModifiedDate

05/18/2022