The holder whose full name is SPENNER, BROOK,come from Lafayette IN,hold the Temporary Occ Therapist Permit license(NO.99004625A) which status is Superceded.
| Name | SPENNER, BROOK |
|---|---|
| License Number | 99004625A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Lafayette |
| State | IN |