The holder whose full name is Ullom, Shelley Lynne,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99015435A) which status is Superceded.
Name | Ullom, Shelley Lynne |
---|---|
License Number | 99015435A |
License Type | Temporary Occ Therapist Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |