The holder whose full name is Wagner, Allyssa R.,come from Westchester IL,hold the Temporary Occ Therapist Permit license(NO.99001941A) which status is Superceded.
| Name | Wagner, Allyssa R. |
|---|---|
| License Number | 99001941A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Westchester |
| State | IL |