LYNDE JUSTINE HAASIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003737

License Status

NOT RENEWED

Business

First Name

LYNDE

Middle

JUSTINE

Last Name

HAASIS

Business Name

LYNDE JUSTINE HAASIS

Original Issue Date

02/15/2013

Effective Date

10/18/2013

Expiration Date

12/31/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/08/2016