The holder whose full name is SMITH, DIANE SUE,come from RENSSELAER IN,hold the Occupational Therapist license(NO.31000623A) which status is Active.
| Name | SMITH, DIANE SUE |
|---|---|
| License Number | 31000623A |
| License Type | Occupational Therapist |
| License Status | Active |
| City | RENSSELAER |
| State | IN |