The holder whose full name is Rutherford, Tracy,come from New Palestine IN,hold the Temporary Occ Therapist Permit license(NO.99004164A) which status is Superceded.
| Name | Rutherford, Tracy |
|---|---|
| License Number | 99004164A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | New Palestine |
| State | IN |