Indiana
Professional Licensing Agency
Lisa Jo Elcock
Temporary Occupational Therapy Assistant Permit
License number
99008693A
Date granted
06/27/2003
Date expires
01/06/2004
Class
Temporary Occupational Therapy Assistant Permit
Status
Expired
Address
Fort Wayne IN 46806
indianalicensing.org
ID 8283201
LAST UPDATED 2024-02-06 15:04:04 UTC
LAST UPDATED 2024-02-06 15:04:04 UTC
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