The holder whose full name is Lucy, Lisa M.,come from Lebanon IN,hold the Temp Marr & Fam Ther Permit license(NO.99045729A) which status is Superceded.
| Name | Lucy, Lisa M. |
|---|---|
| License Number | 99045729A |
| License Type | Temp Marr & Fam Ther Permit |
| License Status | Superceded |
| City | Lebanon |
| State | IN |