The holder whose full name is JOHNSON, FREDERICA DOUGLAS,come from Calumet City IL,hold the Temporary Occ Therapist Permit license(NO.99001934A) which status is Superceded.
| Name | JOHNSON, FREDERICA DOUGLAS |
|---|---|
| License Number | 99001934A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Calumet City |
| State | IL |