The holder whose full name is Urra, Kim Marie,come from Crown Point IN,hold the Temp Clin Soc Worker Permit license(NO.99024305A) which status is Superceded.
| Name | Urra, Kim Marie |
|---|---|
| License Number | 99024305A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Crown Point |
| State | IN |