The holder whose full name is Johnson, Mary Belle,come from Fort Wayne IN,hold the Temp Marr & Fam Ther Permit license(NO.99023545A) which status is Expired.
| Name | Johnson, Mary Belle |
|---|---|
| License Number | 99023545A |
| License Type | Temp Marr & Fam Ther Permit |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |