The holder whose full name is Herceg, Jessica Moss,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99049340A) which status is Superceded.
| Name | Herceg, Jessica Moss |
|---|---|
| License Number | 99049340A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |