The holder whose full name is Granholm, Charles Ray,come from Greenville IN,hold the Temp Clin Soc Worker Permit license(NO.99001225A) which status is Superceded.
| Name | Granholm, Charles Ray |
|---|---|
| License Number | 99001225A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Greenville |
| State | IN |