The holder whose full name is Bolden, Carrie Lynn,come from Indianapolis IN,hold the Temporary Occ Therapist Permit license(NO.99032230A) which status is Superceded.
| Name | Bolden, Carrie Lynn |
|---|---|
| License Number | 99032230A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |