LISA V CLARK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000546

License Status

NOT RENEWED

Business

First Name

LISA V

Last Name

CLARK

Business Name

LISA V CLARK

Original Issue Date

06/19/1984

Effective Date

11/20/2009

Expiration Date

12/31/2011

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2012