The holder whose full name is Hautman, Anthony Jay,come from Poseyville IN,hold the Temporary Occ Therapist Permit license(NO.99044746A) which status is Superceded.
| Name | Hautman, Anthony Jay |
|---|---|
| License Number | 99044746A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Poseyville |
| State | IN |