The holder whose full name is Black-Larson, THELMA,come from GARY IN,hold the Home Health Aide license(NO.HHA1200548) which status is Active.
| Name | Black-Larson, THELMA |
|---|---|
| License Number | HHA1200548 |
| License Type | Home Health Aide |
| License Status | Active |
| City | GARY |
| State | IN |