The holder whose full name is Fleck, Tara Lauren,come from Zionsville IN,hold the Temporary Occ Therapist Permit license(NO.99042189A) which status is Superceded.
| Name | Fleck, Tara Lauren |
|---|---|
| License Number | 99042189A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Zionsville |
| State | IN |