Indiana
Professional Licensing Agency
Shiloh Dallas Crockett Lee
Occupational Therapy Assistant
License number
32002624A
Date granted
04/10/2014
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
Sheridan IN 46069
indianalicensing.org
ID 29095311
LAST UPDATED 2026-05-21 17:21:03 UTC
LAST UPDATED 2026-05-21 17:21:03 UTC
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