The holder whose full name is Campbell, Lisa Renae,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99001511A) which status is Superceded.
| Name | Campbell, Lisa Renae |
|---|---|
| License Number | 99001511A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |