The holder whose full name is Decker, Carly Nicole,come from Chicago IL,hold the Temporary Occ Therapist Permit license(NO.99049402A) which status is Superceded.
| Name | Decker, Carly Nicole |
|---|---|
| License Number | 99049402A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Chicago |
| State | IL |