The holder whose full name is Moore, Joanne Irene,come from South Bend IN,hold the Temp Clin Soc Worker Permit license(NO.99039593A) which status is Expired.
| Name | Moore, Joanne Irene |
|---|---|
| License Number | 99039593A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Expired |
| City | South Bend |
| State | IN |