The holder whose full name is Cornwell, Matthew Christopher,come from Fort Wayne IN,hold the Temporary Occ Therapist Permit license(NO.99001112A) which status is Superceded.
| Name | Cornwell, Matthew Christopher |
|---|---|
| License Number | 99001112A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |