SUSAN M LICK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007184

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

LICK

Business Name

SUSAN M LICK

Original Issue Date

05/24/2004

Effective Date

01/03/2012

Expiration Date

12/31/2013

City

LOWELL

State

Zip

46356

Ever Disciplined

LastModifiedDate

02/19/2014