The holder whose full name is Blankenship Clark, Ashli Beth,come from Birdseye IN,hold the Temporary Occ Therapist Permit license(NO.99002903A) which status is Superceded.
| Name | Blankenship Clark, Ashli Beth |
|---|---|
| License Number | 99002903A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Birdseye |
| State | IN |