LAWRENCE WILLIAM BAIZE JR - Occupational Therapist License in Mississippi | # 056004990

LAWRENCE WILLIAM BAIZE JR

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004990

License Status

NOT RENEWED

Business

N

First Name

LAWRENCE

Middle

WILLIAM

Last Name

BAIZE

Suffix

JR

Business Name

LAWRENCE WILLIAM BAIZE JR

Original Issue Date

09/09/1998

Effective Date

05/18/2000

Expiration Date

12/31/1999

State

MS

Ever Disciplined

N

LastModifiedDate

07/28/2005