The holder whose full name is Lake, Katie L.,come from Brownsburg IN,hold the Temporary Occ Therapist Permit license(NO.99032253A) which status is Superceded.
| Name | Lake, Katie L. |
|---|---|
| License Number | 99032253A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Brownsburg |
| State | IN |