The holder whose full name is Gorman, Brock,come from Wheaton IL,hold the Temporary Occ Therapist Permit license(NO.99052605A) which status is Superceded.
| Name | Gorman, Brock |
|---|---|
| License Number | 99052605A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Wheaton |
| State | IL |