LUCY FRAZIER WALLACE - Occupational Therapist License in Illinois | # 056000848

LUCY FRAZIER WALLACE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000848

License Status

NOT RENEWED

Business

N

First Name

LUCY

Last Name

FRAZIER WALLACE

Business Name

LUCY FRAZIER WALLACE

Original Issue Date

08/08/1984

Expiration Date

12/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005