The holder whose full name is Bailey, Tina Fox,come from La Grange IL,hold the Temporary Occ Therapist Permit license(NO.99008596A) which status is Superceded.
| Name | Bailey, Tina Fox |
|---|---|
| License Number | 99008596A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | La Grange |
| State | IL |