Indiana
Professional Licensing Agency
Matthew O'Brien
Temporary Occupational Therapy Assistant Permit
License number
99019338A
Date granted
11/22/2005
Date expires
09/01/2006
Class
Temporary Occupational Therapy Assistant Permit
Status
Expired
Address
Fort Wayne IN 46818
indianalicensing.org
ID 8283208
LAST UPDATED 2026-03-27 05:03:57 UTC
LAST UPDATED 2026-03-27 05:03:57 UTC
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