The holder whose full name is Peterson, Elizabeth Evelyn,come from Bloomington IN,hold the Temporary Occ Therapist Permit license(NO.99013371A) which status is Superceded.
Name | Peterson, Elizabeth Evelyn |
---|---|
License Number | 99013371A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Bloomington |
State | IN |