The holder whose full name is HEINRICH, JASON,come from Bloomington IN,hold the Temporary Occ Therapist Permit license(NO.99004028A) which status is Superceded.
Name | HEINRICH, JASON |
---|---|
License Number | 99004028A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Bloomington |
State | IN |