The holder whose full name is Lewis, Davena E.,come from Indianapolis IN,hold the Temp Marr & Fam Ther Permit license(NO.99042196A) which status is Expired.
| Name | Lewis, Davena E. |
|---|---|
| License Number | 99042196A |
| License Type | Temp Marr & Fam Ther Permit |
| License Status | Expired |
| City | Indianapolis |
| State | IN |