The holder whose full name is Collins, Carol Ann,come from Lafayette IN,hold the Temp Social Worker Permit license(NO.99004303A) which status is Superceded.
| Name | Collins, Carol Ann |
|---|---|
| License Number | 99004303A |
| License Type | Temp Social Worker Permit |
| License Status | Superceded |
| City | Lafayette |
| State | IN |