The holder whose full name is Allen, Christine Mae,come from Derby IN,hold the Temporary Occ Therapist Permit license(NO.99005146A) which status is Superceded.
| Name | Allen, Christine Mae |
|---|---|
| License Number | 99005146A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Derby |
| State | IN |