The holder whose full name is WALLER, JULIE ANN,come from Evansville IN,hold the Temporary Occ Therapist Permit license(NO.99003029A) which status is Superceded.
| Name | WALLER, JULIE ANN |
|---|---|
| License Number | 99003029A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Evansville |
| State | IN |