The holder whose full name is Given, John Parker,come from Burns Harbor IN,hold the Temp Clin Soc Worker Permit license(NO.99054059A) which status is Superceded.
| Name | Given, John Parker |
|---|---|
| License Number | 99054059A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Burns Harbor |
| State | IN |