LORI LYNN RUSSO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005658

License Status

NOT RENEWED

Business

First Name

LORI

Middle

LYNN

Last Name

RUSSO

Business Name

LORI LYNN RUSSO

Original Issue Date

01/14/2000

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

MILWAUKEE

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005