The holder whose full name is Bultman, Katherine A.,come from Bloomington IN,hold the Temp Clin Soc Worker Permit license(NO.99036398A) which status is Superceded.
| Name | Bultman, Katherine A. |
|---|---|
| License Number | 99036398A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Bloomington |
| State | IN |