The holder whose full name is Waddle, Daniel Edward,come from Indianapolis IN,hold the Temp Mental Hlth Coun Permit license(NO.99011724A) which status is Superceded.
Name | Waddle, Daniel Edward |
---|---|
License Number | 99011724A |
License Type | Temp Mental Hlth Coun Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |