The holder whose full name is Roark, Austin Robert,come from Converse IN,hold the Occ Therapy Assistant license(NO.32001918A) which status is Active.
| Name | Roark, Austin Robert |
|---|---|
| License Number | 32001918A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Converse |
| State | IN |