The holder whose full name is Lisek, Julie L.,come from Indianapolis IN,hold the Temp Mental Hlth Coun Permit license(NO.99011717A) which status is Superceded.
| Name | Lisek, Julie L. |
|---|---|
| License Number | 99011717A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |