The holder whose full name is Berman, James M,come from Crown Point IN,hold the Temp Mental Hlth Coun Permit license(NO.99012972A) which status is Superceded.
Name | Berman, James M |
---|---|
License Number | 99012972A |
License Type | Temp Mental Hlth Coun Permit |
License Status | Superceded |
City | Crown Point |
State | IN |