Indiana
Professional Licensing Agency
Susan Ann Lake
Occupational Therapy Assistant
License number
32000047A
Date granted
11/14/1990
Date expires
12/31/2016
Class
Occupational Therapy Assistant
Status
Active
Address
Indianapolis IN 46268
indianalicensing.org
ID 8276270
LAST UPDATED 2026-05-30 03:51:36 UTC
LAST UPDATED 2026-05-30 03:51:36 UTC
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