The holder whose full name is Bradford Otiato, Lydia Catherine,come from South Bend IN,hold the Temporary Occ Therapist Permit license(NO.99009090A) which status is Superceded.
| Name | Bradford Otiato, Lydia Catherine |
|---|---|
| License Number | 99009090A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | South Bend |
| State | IN |