The holder whose full name is Smith, Virginia R.,come from Bloomington IN,hold the Temporary Occ Therapist Permit license(NO.99037277A) which status is Superceded.
Name | Smith, Virginia R. |
---|---|
License Number | 99037277A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Bloomington |
State | IN |