LISA MARIE STOUGHTON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012338

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

STOUGHTON

Business Name

LISA MARIE STOUGHTON

Original Issue Date

01/19/2018

Effective Date

12/10/2019

Expiration Date

01/31/2022

City

ALBUQUERQUE

State

Zip

87110

Ever Disciplined

LastModifiedDate

05/18/2022