The holder whose full name is Smith, Amy Lynn,come from Indianapolis IN,hold the Temp Mental Hlth Coun Permit license(NO.99013740A) which status is Superceded.
Name | Smith, Amy Lynn |
---|---|
License Number | 99013740A |
License Type | Temp Mental Hlth Coun Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |