The holder whose full name is Latiolais, Angela,come from Bloomington IN,hold the Temporary Occ Therapist Permit license(NO.99004554A) which status is Superceded.
| Name | Latiolais, Angela |
|---|---|
| License Number | 99004554A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Bloomington |
| State | IN |