The holder whose full name is BLANTON, BOBBY CHARLES,come from Kokomo IN,hold the Temporary Occ Therapist Permit license(NO.99002776A) which status is Superceded.
| Name | BLANTON, BOBBY CHARLES |
|---|---|
| License Number | 99002776A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Kokomo |
| State | IN |