The holder whose full name is Luther, Kelly Ann,come from Lafayette IN,hold the Temporary Occ Therapist Permit license(NO.99024820A) which status is Superceded.
| Name | Luther, Kelly Ann |
|---|---|
| License Number | 99024820A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Lafayette |
| State | IN |