The holder whose full name is Ypil Cucueco, Michelle Ann Rita,come from Fort Wayne IN,hold the Temporary Occ Therapist Permit license(NO.99012908A) which status is Superceded.
| Name | Ypil Cucueco, Michelle Ann Rita |
|---|---|
| License Number | 99012908A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |