The holder whose full name is Pennella, Mary Grace,come from Indianapolis IN,hold the Chiro Temporary Permit license(NO.99001635A) which status is Superceded.
| Name | Pennella, Mary Grace |
|---|---|
| License Number | 99001635A |
| License Type | Chiro Temporary Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |