Indiana
Professional Licensing Agency
Patrick L. Affolder
Temporary Occupational Therapy Assistant Permit
License number
99053700A
Date granted
09/07/2012
Date expires
03/06/2013
Class
Temporary Occupational Therapy Assistant Permit
Status
Expired
Address
Decatur IN 46733
indianalicensing.org
ID 8283074
LAST UPDATED 2026-08-25 18:49:13 UTC
LAST UPDATED 2026-08-25 18:49:13 UTC
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