The holder whose full name is Gannon, Kelly A.,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99038405A) which status is Superceded.
Name | Gannon, Kelly A. |
---|---|
License Number | 99038405A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |