The holder whose full name is SMITH, GINEAL ANTWIONIQUE,come from LAFAYETTE IN,hold the Occ Therapy Assistant license(NO.32000530A) which status is Expired.
| Name | SMITH, GINEAL ANTWIONIQUE |
|---|---|
| License Number | 32000530A |
| License Type | Occ Therapy Assistant |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |