The holder whose full name is HACKWORTH, LISA MARIE,come from Columbia City IN,hold the Occ Therapy Assistant license(NO.32000932A) which status is Active.
| Name | HACKWORTH, LISA MARIE |
|---|---|
| License Number | 32000932A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Columbia City |
| State | IN |