Indiana
Professional Licensing Agency
Daniel A Crockett
Occupational Therapy Assistant
License number
32001221A
Date granted
12/02/2004
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
Madisonville KY 42431
indianalicensing.org
ID 8276500
LAST UPDATED 2024-03-07 06:31:24 UTC
LAST UPDATED 2024-03-07 06:31:24 UTC
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