The holder whose full name is RAYPOLE, AMANDA,come from Fort Wayne IN,hold the Temporary Occ Therapist Permit license(NO.99006172A) which status is Superceded.
Name | RAYPOLE, AMANDA |
---|---|
License Number | 99006172A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Fort Wayne |
State | IN |