Jan Ethan Banquicio
Temporary Occupational Therapist Permit
Indiana 99009008A Superceded
This Indiana license was held by Jan Ethan Banquicio. The license is no longer active. It was granted on 08/07/2003 and expired on 03/08/2004
LICENSE DETAILS
- License Number: 99009008A
- Category: Temporary Occ Therapist Permit
- Status: Superceded
- Date Granted: 08/07/2003 (almost 22 years ago)
- Expiry Date: 03/08/2004 (about 21 years ago)
LOCATIONS
A Address
Kokomo IN 46902