The holder whose full name is Lane, Amanda Courtney,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99026311A) which status is Superceded.
| Name | Lane, Amanda Courtney |
|---|---|
| License Number | 99026311A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |