The holder whose full name is Lewis, Davena E.,come from Indianapolis IN,hold the Temp Marr & Fam Ther Permit license(NO.99052523A) which status is Expired.
Name | Lewis, Davena E. |
---|---|
License Number | 99052523A |
License Type | Temp Marr & Fam Ther Permit |
License Status | Expired |
City | Indianapolis |
State | IN |