The holder whose full name is SICKAFOOSE, MAUDIE J,come from South Whitley IN,hold the Temporary Occ Therapist Permit license(NO.99001256A) which status is Superceded.
| Name | SICKAFOOSE, MAUDIE J |
|---|---|
| License Number | 99001256A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | South Whitley |
| State | IN |