The holder whose full name is THOMAS REIS, MARIKO,come from Newburgh IN,hold the Temporary Occ Therapist Permit license(NO.99000229A) which status is Superceded.
| Name | THOMAS REIS, MARIKO |
|---|---|
| License Number | 99000229A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Newburgh |
| State | IN |