The holder whose full name is Haller, Hayden A.,come from Lafayette IN,hold the Temp Mental Hlth Coun Permit license(NO.99012294A) which status is Superceded.
Name | Haller, Hayden A. |
---|---|
License Number | 99012294A |
License Type | Temp Mental Hlth Coun Permit |
License Status | Superceded |
City | Lafayette |
State | IN |