The holder whose full name is Jefferson, Monica M.,come from Terre Haute IN,hold the Temporary Occ Therapist Permit license(NO.99055236A) which status is Superceded.
| Name | Jefferson, Monica M. |
|---|---|
| License Number | 99055236A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Terre Haute |
| State | IN |