Indiana
Professional Licensing Agency
Adam Ray Gillum
Temporary Occupational Therapy Assistant Permit
License number
99049547A
Date granted
11/22/2011
Date expires
05/20/2012
Class
Temporary Occupational Therapy Assistant Permit
Status
Expired
Address
North Manchester IN 46962
indianalicensing.org
ID 8283636
LAST UPDATED 2024-04-12 05:08:04 UTC
LAST UPDATED 2024-04-12 05:08:04 UTC
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