The holder whose full name is Walters, Holly Ann,come from Plymouth IN,hold the Temporary Occ Therapist Permit license(NO.99007452A) which status is Superceded.
| Name | Walters, Holly Ann |
|---|---|
| License Number | 99007452A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Plymouth |
| State | IN |