The holder whose full name is Wiese, Jennifer Lynn,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99001836A) which status is Superceded.
Name | Wiese, Jennifer Lynn |
---|---|
License Number | 99001836A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |