The holder whose full name is KOHTZ, JACQUELINE ANN,come from Kearney NE,hold the Temporary Occ Therapist Permit license(NO.99003177A) which status is Superceded.
| Name | KOHTZ, JACQUELINE ANN |
|---|---|
| License Number | 99003177A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Kearney |
| State | NE |