LISA M HENNIGAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010942

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

HENNIGAN

Business Name

LISA M HENNIGAN

Original Issue Date

02/24/2015

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

TWIN LAKES

State

Zip

53181

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/05/2020