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 2024-04-18 18:37:22 UTC
LAST UPDATED 2024-04-18 18:37:22 UTC
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