The holder whose full name is Vandament, Susan Lynn,come from Lafayette IN,hold the Temporary Occ Therapist Permit license(NO.99003178A) which status is Superceded.
| Name | Vandament, Susan Lynn |
|---|---|
| License Number | 99003178A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Lafayette |
| State | IN |