LESLIE A BOUMA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002150

License Status

INACTIVE

Business

First Name

LESLIE A

Last Name

BOUMA

Business Name

LESLIE A BOUMA

Original Issue Date

04/15/1989

Expiration Date

12/31/1997

City

WINTER SPRINGS

State

Zip

32708

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/28/2005