Indiana
Professional Licensing Agency
Kelley L Basham
Occupational Therapy Assistant
License number
32001308A
Date granted
11/21/2005
Date expires
12/31/2008
Class
Occupational Therapy Assistant
Status
Expired
Address
Taylorsville KY 40071
indianalicensing.org
ID 8277200
LAST UPDATED 2024-02-29 18:46:41 UTC
LAST UPDATED 2024-02-29 18:46:41 UTC
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