The holder whose full name is Farouki, Kimberly Dionne,come from Kokomo IN,hold the Temp Clin Soc Worker Permit license(NO.99044962A) which status is Expired.
| Name | Farouki, Kimberly Dionne |
|---|---|
| License Number | 99044962A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Expired |
| City | Kokomo |
| State | IN |