The holder whose full name is Gibson, Amanda Suzanne,come from Noblesville IN,hold the Temp Mental Hlth Coun Permit license(NO.99058324A) which status is Superceded.
Name | Gibson, Amanda Suzanne |
---|---|
License Number | 99058324A |
License Type | Temp Mental Hlth Coun Permit |
License Status | Superceded |
City | Noblesville |
State | IN |