The holder whose full name is Bisaillon-Chapman, Angela Marie,come from Lafayette IN,hold the Temp Clin Soc Worker Permit license(NO.99042955A) which status is Expired.
| Name | Bisaillon-Chapman, Angela Marie |
|---|---|
| License Number | 99042955A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Expired |
| City | Lafayette |
| State | IN |