The holder whose full name is Gotfried, Katie J,come from La Porte IN,hold the Temporary Occ Therapist Permit license(NO.99012106A) which status is Superceded.
| Name | Gotfried, Katie J |
|---|---|
| License Number | 99012106A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | La Porte |
| State | IN |