Fallon Shively
Temporary Occupational Therapist Permit
Indiana 99058063A Superceded
This Indiana license was held by Fallon Shively. The license is no longer active. It was granted on 07/12/2013 and expired on 01/08/2014
LICENSE DETAILS
- License Number: 99058063A
- Category: Temporary Occ Therapist Permit
- Status: Superceded
- Date Granted: 07/12/2013 (almost 11 years ago)
- Expiry Date: 01/08/2014 (over 10 years ago)
LOCATIONS
A Address
Plainfield IN 46168