The holder whose full name is Stork, Brittany Lee,come from Jasper IN,hold the Occ Therapy Assistant license(NO.32002699A) which status is Active.
| Name | Stork, Brittany Lee |
|---|---|
| License Number | 32002699A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Jasper |
| State | IN |