The holder whose full name is Leitz, Amy Beth,come from Portage MI,hold the Temporary Occ Therapist Permit license(NO.99043179A) which status is Superceded.
| Name | Leitz, Amy Beth |
|---|---|
| License Number | 99043179A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Portage |
| State | MI |