The holder whose full name is High, Audra Ann,come from Lafayette IN,hold the Temporary Occ Therapist Permit license(NO.99040635A) which status is Superceded.
Name | High, Audra Ann |
---|---|
License Number | 99040635A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Lafayette |
State | IN |