Idaho
Division of Occupational and Professional Licenses
LACEY BASCOM
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 980
Date granted
05/27/2010
Date expires
06/12/2012
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Not Current
Address
TWIN FALLS ID 83301
idaholicensing.com
ID 43728283
LAST UPDATED 2024-03-30 14:49:42 UTC
LAST UPDATED 2024-03-30 14:49:42 UTC
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