The holder whose full name is Blank, Carolyn,come from Bloomington IN,hold the Massage Therapist license(NO.MT21104122) which status is Active.
| Name | Blank, Carolyn |
|---|---|
| License Number | MT21104122 |
| License Type | Massage Therapist |
| License Status | Active |
| City | Bloomington |
| State | IN |