The holder whose full name is Blackford, Isabel Salazar,come from Mc Cordsville IN,hold the Temporary Occ Therapist Permit license(NO.99009509A) which status is Superceded.
| Name | Blackford, Isabel Salazar |
|---|---|
| License Number | 99009509A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Mc Cordsville |
| State | IN |