The holder whose full name is La Crosse, Kendra L,come from Portage WI,hold the Temporary Occ Therapist Permit license(NO.99004740A) which status is Superceded.
| Name | La Crosse, Kendra L |
|---|---|
| License Number | 99004740A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Portage |
| State | WI |