The holder whose full name is Fanning, Michael Andrew,come from Indianapolis IN,hold the Temporary Psychologist Permit license(NO.99014771A) which status is Superceded.
| Name | Fanning, Michael Andrew |
|---|---|
| License Number | 99014771A |
| License Type | Temporary Psychologist Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |