The holder whose full name is Gentry, Mary Beth,come from Henderson KY,hold the Temporary Occ Therapist Permit license(NO.99012795A) which status is Superceded.
| Name | Gentry, Mary Beth |
|---|---|
| License Number | 99012795A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Henderson |
| State | KY |