The holder whose full name is SAMPLAWSKI, PHYLLIS,come from PORTAGE IN,hold the Clinical Social Worker license(NO.34002340A) which status is Expired.
| Name | SAMPLAWSKI, PHYLLIS |
|---|---|
| License Number | 34002340A |
| License Type | Clinical Social Worker |
| License Status | Expired |
| City | PORTAGE |
| State | IN |