The holder whose full name is Rose, Ronicia T.,come from Crown Point IN,hold the Temp Clin Soc Worker Permit license(NO.99021790A) which status is Superceded.
| Name | Rose, Ronicia T. |
|---|---|
| License Number | 99021790A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Crown Point |
| State | IN |