The holder whose full name is Butts, Larry,come from Indianapolis IN,hold the Temp Mental Hlth Coun Permit license(NO.99019860A) which status is Superceded.
Name | Butts, Larry |
---|---|
License Number | 99019860A |
License Type | Temp Mental Hlth Coun Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |