The holder whose full name is Hicks, Thomas Jerry,come from Muncie IN,hold the Occ Therapy Assistant license(NO.32000693A) which status is Probation/Expired.
Name | Hicks, Thomas Jerry |
---|---|
License Number | 32000693A |
License Type | Occ Therapy Assistant |
License Status | Probation/Expired |
City | Muncie |
State | IN |