LEE R PACE - Occupational Therapist License in Mississippi | # 056006710

LEE R PACE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006710

License Status

NOT RENEWED

Business

N

First Name

LEE

Middle

R

Last Name

PACE

Business Name

LEE R PACE

Original Issue Date

10/17/2002

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

MS

Ever Disciplined

N

LastModifiedDate

09/11/2005