The holder whose full name is Whitaker, Amanda Jo,come from Bloomington IN,hold the Temporary Occ Therapist Permit license(NO.99032733A) which status is Superceded.
Name | Whitaker, Amanda Jo |
---|---|
License Number | 99032733A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Bloomington |
State | IN |