The holder whose full name is Smith, John Bradley,come from Hicksville OH,hold the Temp Mental Hlth Coun Permit license(NO.99048054A) which status is Superceded.
| Name | Smith, John Bradley |
|---|---|
| License Number | 99048054A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Hicksville |
| State | OH |