The holder whose full name is Jackson, Amanda Lyn,come from Scottsburg IN,hold the Temporary Occ Therapist Permit license(NO.99037435A) which status is Superceded.
| Name | Jackson, Amanda Lyn |
|---|---|
| License Number | 99037435A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Scottsburg |
| State | IN |