The holder whose full name is Fung, Charlene Joanna,come from South Bend IN,hold the Occupational Therapist license(NO.31004282A) which status is Expired.
| Name | Fung, Charlene Joanna |
|---|---|
| License Number | 31004282A |
| License Type | Occupational Therapist |
| License Status | Expired |
| City | South Bend |
| State | IN |