The holder whose full name is Soucek, Lisa M.,come from Villa Rica GA,hold the Occ Therapy Assistant license(NO.32001740A) which status is Active.
| Name | Soucek, Lisa M. |
|---|---|
| License Number | 32001740A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Villa Rica |
| State | GA |