The holder whose full name is Virgin, Mallory A.,come from Boonville IN,hold the Occ Therapy Assistant license(NO.32001704A) which status is Active.
| Name | Virgin, Mallory A. |
|---|---|
| License Number | 32001704A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Boonville |
| State | IN |