LAWRENCE WILLIAM BAIZE JR Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004990

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

WILLIAM

Last Name

BAIZE

Suffix

Business Name

LAWRENCE WILLIAM BAIZE JR

Original Issue Date

09/09/1998

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

GUNTOWN

State

Zip

38849

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

07/28/2005