LUCY FRAZIER WALLACE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000848

License Status

NOT RENEWED

Business

First Name

LUCY

Last Name

FRAZIER WALLACE

Business Name

LUCY FRAZIER WALLACE

Original Issue Date

08/08/1984

Expiration Date

12/31/1987

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/28/2005