The holder whose full name is Johann, Kathleen Marie,come from Indianapolis IN,hold the Temp Clin Soc Worker Permit license(NO.99045067A) which status is Superceded.
| Name | Johann, Kathleen Marie |
|---|---|
| License Number | 99045067A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |