The holder whose full name is Long, Dawn Marie,come from Lynn IN,hold the Temporary Occ Therapist Permit license(NO.99037299A) which status is Superceded.
Name | Long, Dawn Marie |
---|---|
License Number | 99037299A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Lynn |
State | IN |