The holder whose full name is Bliss, Ethan Loper,come from Middletown MD,hold the Temp Mental Hlth Coun Permit license(NO.99027517A) which status is Superceded.
| Name | Bliss, Ethan Loper |
|---|---|
| License Number | 99027517A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Middletown |
| State | MD |