The holder whose full name is FANCHER, CAMILLA JO,come from Southport IN,hold the Temp Social Worker Permit license(NO.99000315A) which status is Superceded.
| Name | FANCHER, CAMILLA JO |
|---|---|
| License Number | 99000315A |
| License Type | Temp Social Worker Permit |
| License Status | Superceded |
| City | Southport |
| State | IN |