The holder whose full name is DIERCKMAN, HEATHER C,come from Batesville IN,hold the Temporary Occ Therapist Permit license(NO.99005135A) which status is Superceded.
| Name | DIERCKMAN, HEATHER C |
|---|---|
| License Number | 99005135A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Batesville |
| State | IN |