The holder whose full name is Bonilla, Chivvon Octavia,come from Gary IN,hold the Occ Therapy Assistant license(NO.32002663A) which status is Active.
| Name | Bonilla, Chivvon Octavia |
|---|---|
| License Number | 32002663A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Gary |
| State | IN |