JANET M LISAK Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003112

License Status

INACTIVE

Business

First Name

JANET M

Last Name

LISAK

Business Name

JANET M LISAK

Original Issue Date

04/09/1993

Effective Date

02/05/2004

Expiration Date

12/31/2003

City

MYSTIC ISLAND

State

Zip

08087

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/11/2005