Indiana
Professional Licensing Agency
Shannon K. Ponko
Occupational Therapy Assistant
License number
32001474A
Date granted
04/04/2007
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
Waterloo IN 46793
indianalicensing.org
ID 8277323
LAST UPDATED 2024-04-15 10:47:37 UTC
LAST UPDATED 2024-04-15 10:47:37 UTC
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