The holder whose full name is Pruitt, Jennifer Ann,come from Fort Wayne IN,hold the Temporary Occ Therapist Permit license(NO.99002806A) which status is Superceded.
Name | Pruitt, Jennifer Ann |
---|---|
License Number | 99002806A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Fort Wayne |
State | IN |