Indiana
Professional Licensing Agency
Carolyn P. Petty
Temporary Occupational Therapy Assistant Permit
License number
99027994A
Date granted
07/19/2007
Date expires
01/15/2008
Class
Temporary Occupational Therapy Assistant Permit
Status
Expired
Address
Middlebury IN 46540
indianalicensing.org
ID 8283520
LAST UPDATED 2026-06-18 22:11:35 UTC
LAST UPDATED 2026-06-18 22:11:35 UTC
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