The holder whose full name is Lala, Jessica Lyn,come from South Bend IN,hold the Temp Clin Soc Worker Permit license(NO.99052119A) which status is Superceded.
| Name | Lala, Jessica Lyn |
|---|---|
| License Number | 99052119A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | South Bend |
| State | IN |