License holder summary

Blake, Lisa G is a Occupational Therapy Assistant licensed to practice in Missouri. The address on file for Blake, Lisa G is 65 Weeks Dr. , Buffalo 65622. This licensed professional license is current. The license was granted 08/24/2004 and expired on 06/30/2015.

Missouri

Division of Professional Registration

Blake, Lisa G
Occupational Therapy Assistant
License number
2004016764  
Date granted
08/24/2004
Date expires
06/30/2015
Class
Occupational Therapy Assistant
Status
Clear
Address
65 Weeks Dr. 
licensingmissouri.org
ID 5144780
LAST UPDATED 2024-02-14 03:41:09 UTC

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