ALEXANDRA MARIE LACY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014132

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

MARIE

Last Name

LACY

Business Name

ALEXANDRA MARIE LACY

Original Issue Date

03/19/2021

Effective Date

03/19/2021

Expiration Date

01/31/2022

City

FISHERS

State

Zip

46037

Ever Disciplined

LastModifiedDate

05/18/2022