The holder whose full name is Lai, Bryan Bruce,come from Fort Wayne IN,hold the Temporary Occ Therapist Permit license(NO.99006876A) which status is Superceded.
| Name | Lai, Bryan Bruce |
|---|---|
| License Number | 99006876A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |