The holder whose full name is Booth, Chad A.,come from Crown Point IN,hold the Temp Clin Soc Worker Permit license(NO.99045829A) which status is Expired.
| Name | Booth, Chad A. |
|---|---|
| License Number | 99045829A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Expired |
| City | Crown Point |
| State | IN |