License holder summary

Lezeric Angel Fallen is a Occupational Therapy Assistant licensed to practice in Indiana. The address on file for Lezeric Angel Fallen is Evansville IN 47714. This licensed professional license is current. The license was granted 01/08/1997 and expired on 12/31/2014.

Indiana

Professional Licensing Agency

Lezeric Angel Fallen
Occupational Therapy Assistant
License number
32000566A
Date granted
01/08/1997
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
Evansville IN 47714
indianalicensing.org
ID 8275557
LAST UPDATED 2024-03-31 16:21:48 UTC

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