The holder whose full name is Jordan, Tamara L.,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99032094A) which status is Superceded.
| Name | Jordan, Tamara L. |
|---|---|
| License Number | 99032094A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |