The holder whose full name is Proctor, David Irving,come from Greenwood IN,hold the Temporary Occ Therapist Permit license(NO.99063027A) which status is Superceded.
| Name | Proctor, David Irving |
|---|---|
| License Number | 99063027A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Greenwood |
| State | IN |