ALEXIS NICOLE LILLY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009068

License Status

NOT RENEWED

Business

First Name

ALEXIS

Middle

NICOLE

Last Name

LILLY

Business Name

ALEXIS NICOLE LILLY

Original Issue Date

07/08/2010

Effective Date

07/08/2010

Expiration Date

12/31/2011

City

CHARLESTON

State

Zip

25301

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

02/08/2012