The holder whose full name is Clark, Theresa,come from Dyer IN,hold the Occ Therapy Assistant license(NO.32001147A) which status is Active.
| Name | Clark, Theresa |
|---|---|
| License Number | 32001147A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Dyer |
| State | IN |