The holder whose full name is Johnson, Brandon R,come from Washington IN,hold the Temporary Occ Therapist Permit license(NO.99049548A) which status is Superceded.
| Name | Johnson, Brandon R |
|---|---|
| License Number | 99049548A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Washington |
| State | IN |