The holder whose full name is BAUTISTA, DENNIS LIM,come from Kokomo IN,hold the Temporary Occ Therapist Permit license(NO.99004496A) which status is Expired.
| Name | BAUTISTA, DENNIS LIM |
|---|---|
| License Number | 99004496A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Expired |
| City | Kokomo |
| State | IN |