The holder whose full name is Smith, Jennifer Catherine,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99037580A) which status is Superceded.
Name | Smith, Jennifer Catherine |
---|---|
License Number | 99037580A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |