The holder whose full name is Datta, Molly K.,come from Carmel IN,hold the Temporary Occ Therapist Permit license(NO.99037328A) which status is Superceded.
| Name | Datta, Molly K. |
|---|---|
| License Number | 99037328A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Carmel |
| State | IN |