The holder whose full name is Lane, Janell MoNa,come from Fort Wayne IN,hold the Temp Mental Hlth Coun Permit license(NO.99057201A) which status is Expired.
| Name | Lane, Janell MoNa |
|---|---|
| License Number | 99057201A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |