The holder whose full name is Bakemeyer, Diane L,come from Indianapolis IN,hold the Temp Clin Soc Worker Permit license(NO.99041958A) which status is Expired.
| Name | Bakemeyer, Diane L |
|---|---|
| License Number | 99041958A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Expired |
| City | Indianapolis |
| State | IN |