The holder whose full name is KOSTIZEN, LAURA RENEE,come from SEYMOUR IN,hold the SLP Support Personnel license(NO.29000722A) which status is Expired.
| Name | KOSTIZEN, LAURA RENEE |
|---|---|
| License Number | 29000722A |
| License Type | SLP Support Personnel |
| License Status | Expired |
| City | SEYMOUR |
| State | IN |