The holder whose full name is Lilly, Anthony E.,come from Columbus IN,hold the Temporary Psychologist Permit license(NO.99007106A) which status is Superceded.
| Name | Lilly, Anthony E. |
|---|---|
| License Number | 99007106A |
| License Type | Temporary Psychologist Permit |
| License Status | Superceded |
| City | Columbus |
| State | IN |