The holder whose full name is Smith, Diane,come from Indianapolis IN,hold the Temp Clin Soc Worker Permit license(NO.99033142A) which status is Expired.
| Name | Smith, Diane |
|---|---|
| License Number | 99033142A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Expired |
| City | Indianapolis |
| State | IN |