The holder whose full name is Sullivan, Adria Rae,come from Louisville KY,hold the Temp Mental Hlth Coun Permit license(NO.99048066A) which status is Superceded.
| Name | Sullivan, Adria Rae |
|---|---|
| License Number | 99048066A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Louisville |
| State | KY |