The holder whose full name is Kazlas, Ellen Hardin,come from La Porte IN,hold the Temp Clin Soc Worker Permit license(NO.99057788A) which status is Expired.
| Name | Kazlas, Ellen Hardin |
|---|---|
| License Number | 99057788A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Expired |
| City | La Porte |
| State | IN |