The holder whose full name is Kerns, Larry Dale,come from Wheatland IN,hold the Temporary Occ Therapist Permit license(NO.99003650A) which status is Superceded.
| Name | Kerns, Larry Dale |
|---|---|
| License Number | 99003650A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Wheatland |
| State | IN |