The holder whose full name is Keller, Thomas Scott,come from Granger IN,hold the Temp Clin Soc Worker Permit license(NO.99052128A) which status is Superceded.
| Name | Keller, Thomas Scott |
|---|---|
| License Number | 99052128A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Granger |
| State | IN |