The holder whose full name is Martin, Donovan P.,come from Fort Wayne IN,hold the Temp Mental Hlth Coun Permit license(NO.99016457A) which status is Superceded.
| Name | Martin, Donovan P. |
|---|---|
| License Number | 99016457A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |