The holder whose full name is Spencer, Bethany Dawn,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99005123A) which status is Superceded.
| Name | Spencer, Bethany Dawn |
|---|---|
| License Number | 99005123A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |