The holder whose full name is Forestal, Tanika D.,come from Kokomo IN,hold the Temp Marr & Fam Ther Permit license(NO.99045698A) which status is Expired.
| Name | Forestal, Tanika D. |
|---|---|
| License Number | 99045698A |
| License Type | Temp Marr & Fam Ther Permit |
| License Status | Expired |
| City | Kokomo |
| State | IN |