Indiana
Professional Licensing Agency
Traci D. Clark
Occupational Therapy Assistant
License number
32001262A
Date granted
04/22/2005
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
Portland IN 47371
indianalicensing.org
ID 8276920
LAST UPDATED 2024-03-24 01:27:54 UTC
LAST UPDATED 2024-03-24 01:27:54 UTC
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