The holder whose full name is Russo, Mary Kathleen,come from Brownsburg IN,hold the Occupational Therapist license(NO.31003367A) which status is Active.
| Name | Russo, Mary Kathleen |
|---|---|
| License Number | 31003367A |
| License Type | Occupational Therapist |
| License Status | Active |
| City | Brownsburg |
| State | IN |