The holder whose full name is Chickedantz, Angela M.,come from Bloomington IN,hold the Temporary Occ Therapist Permit license(NO.99037279A) which status is Superceded.
| Name | Chickedantz, Angela M. |
|---|---|
| License Number | 99037279A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Bloomington |
| State | IN |