The holder whose full name is Dimapilis, Ethel,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99061428A) which status is Expired.
| Name | Dimapilis, Ethel |
|---|---|
| License Number | 99061428A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Expired |
| City | Indianapolis |
| State | IN |