The holder whose full name is Puckett, Kristain J.,come from Greenwood IN,hold the Temporary Occ Therapist Permit license(NO.99055470A) which status is Superceded.
Name | Puckett, Kristain J. |
---|---|
License Number | 99055470A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Greenwood |
State | IN |