The holder whose full name is Heath, Hannah G.,come from Fort Wayne IN,hold the Temporary Occ Therapist Permit license(NO.99041264A) which status is Superceded.
| Name | Heath, Hannah G. |
|---|---|
| License Number | 99041264A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |