License holder summary

LISA B POLK is a Occupational Therapy Assistant licensed to practice in Pennsylvania. The address on file for LISA B POLK is PORT PROVIDENCE PA 19460. This licensed professional license is not current. The license was granted 04/09/1996 and expired on 06/30/2003.

Pennsylvania

Department of State

LISA B POLK
Occupational Therapy Assistant
License number
OP002058L
Date granted
04/09/1996
Date expires
06/30/2003
Class
Occupational Therapy Assistant
Status
Expired
Address
PORT PROVIDENCE PA 19460
palicensing.org
ID 16930079
LAST UPDATED 2024-03-17 21:59:28 UTC

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