The holder whose full name is Bishop Bohren, Kelly Kristine,come from Portage IN,hold the Temp Clin Soc Worker Permit license(NO.99059685A) which status is Superceded.
| Name | Bishop Bohren, Kelly Kristine |
|---|---|
| License Number | 99059685A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Portage |
| State | IN |