LISA E THEIS Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001715

License Status

INACTIVE

Business

First Name

LISA E

Last Name

THEIS

Business Name

LISA E THEIS

Original Issue Date

03/09/1987

Expiration Date

12/31/1989

City

MADISON

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005