The holder whose full name is Jagger, Tina Lynn,come from Columbia City IN,hold the Temp Clin Soc Worker Permit license(NO.99059701A) which status is Superceded.
| Name | Jagger, Tina Lynn |
|---|---|
| License Number | 99059701A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Columbia City |
| State | IN |