The holder whose full name is Good-Elliott, Philip David,come from Goshen IN,hold the Temp Clin Soc Worker Permit license(NO.99003716A) which status is Superceded.
| Name | Good-Elliott, Philip David |
|---|---|
| License Number | 99003716A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Goshen |
| State | IN |