Indiana
Professional Licensing Agency
Jacie Lynn Brengman
Occupational Therapist
License number
31003584A
Date granted
04/05/2002
Date expires
12/31/2014
Class
Occupational Therapist
Status
Active
Address
Lanesville IN 47136
indianalicensing.org
ID 8280082
LAST UPDATED 2024-03-30 02:48:20 UTC
LAST UPDATED 2024-03-30 02:48:20 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.