The holder whose full name is McGovern, Anthony John,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99032274A) which status is Superceded.
Name | McGovern, Anthony John |
---|---|
License Number | 99032274A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |