The holder whose full name is Martin, Amy Elizabeth,come from Indianapolis IN,hold the Temp Clin Soc Worker Permit license(NO.99019973A) which status is Superceded.
| Name | Martin, Amy Elizabeth |
|---|---|
| License Number | 99019973A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |