The holder whose full name is Gingerich, Lisa Joy,come from Mishawaka IN,hold the Temporary Occ Therapist Permit license(NO.99020277A) which status is Superceded.
Name | Gingerich, Lisa Joy |
---|---|
License Number | 99020277A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Mishawaka |
State | IN |