The holder whose full name is Burch Lutz, Amanda Elizabeth,come from Bloomfield IN,hold the Temporary Occ Therapist Permit license(NO.99042455A) which status is Superceded.
| Name | Burch Lutz, Amanda Elizabeth |
|---|---|
| License Number | 99042455A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Bloomfield |
| State | IN |