Indiana
Professional Licensing Agency
JEANINE PATRICIA PORTLOCK
Occupational Therapy Assistant
License number
32000437A
Date granted
07/14/1995
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
PORTAGE IN 46368
indianalicensing.org
ID 8276911
LAST UPDATED 2026-05-21 13:15:14 UTC
LAST UPDATED 2026-05-21 13:15:14 UTC
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