SHANNON TIERRA LIONBERGER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004194

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

TIERRA

Last Name

LIONBERGER

Business Name

SHANNON TIERRA LIONBERGER

Original Issue Date

02/09/2015

Effective Date

11/20/2017

Expiration Date

12/31/2019

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/05/2020