License Information

The holder whose full name is Jacobs, Bonny Louise,come from Fort Wayne IN,hold the Temporary Occ Therapist Permit license(NO.99006716A) which status is Superceded.

NameJacobs, Bonny Louise
License Number99006716A
License TypeTemporary Occ Therapist Permit
License StatusSuperceded
CityFort Wayne
StateIN

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