The holder whose full name is BLAKE, AMY MICHELLE,come from Allendale IL,hold the Occupational Therapist license(NO.31003279A) which status is Expired.
| Name | BLAKE, AMY MICHELLE |
|---|---|
| License Number | 31003279A |
| License Type | Occupational Therapist |
| License Status | Expired |
| City | Allendale |
| State | IL |