Indiana
Professional Licensing Agency
Fallon Shively
Temporary Occupational Therapist Permit
License number
99058063A
Date granted
07/12/2013
Date expires
01/08/2014
Class
Temporary Occupational Therapist Permit
Status
Superceded
Address
Plainfield IN 46168
indianalicensing.org
ID 8282696
LAST UPDATED 2024-05-11 19:41:50 UTC
LAST UPDATED 2024-05-11 19:41:50 UTC
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