The holder whose full name is Booth, Chad A.,come from Crown Point IN,hold the Temp Clin Soc Worker Permit license(NO.99043298A) which status is Expired.
Name | Booth, Chad A. |
---|---|
License Number | 99043298A |
License Type | Temp Clin Soc Worker Permit |
License Status | Expired |
City | Crown Point |
State | IN |