The holder whose full name is Fogarty, Katie Marie,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99008783A) which status is Superceded.
| Name | Fogarty, Katie Marie |
|---|---|
| License Number | 99008783A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |