Indiana
Professional Licensing Agency
Samantha Denise Hook Lively
Occupational Therapy Assistant
License number
32002396A
Date granted
04/04/2013
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
Connersville IN 47331
indianalicensing.org
ID 8275280
LAST UPDATED 2024-01-31 02:59:00 UTC
LAST UPDATED 2024-01-31 02:59:00 UTC
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