The holder whose full name is Ford, Alyssa A.,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99019619A) which status is Superceded.
Name | Ford, Alyssa A. |
---|---|
License Number | 99019619A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |