The holder whose full name is PORTLOCK, JEANINE PATRICIA,come from PORTAGE IN,hold the Occ Therapy Assistant license(NO.32000437A) which status is Active.
| Name | PORTLOCK, JEANINE PATRICIA |
|---|---|
| License Number | 32000437A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | PORTAGE |
| State | IN |