The holder whose full name is Eddy, Brian Scott,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99062900A) which status is Superceded.
Name | Eddy, Brian Scott |
---|---|
License Number | 99062900A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |