The holder whose full name is Leonard, Beverly Ann,come from Lafayette IN,hold the Temp Mental Hlth Coun Permit license(NO.99063020A) which status is Active.
| Name | Leonard, Beverly Ann |
|---|---|
| License Number | 99063020A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Active |
| City | Lafayette |
| State | IN |