The holder whose full name is Nelson, Keith Daniel,come from Terre Haute IN,hold the Temp Mental Hlth Coun Permit license(NO.99027654A) which status is Superceded.
| Name | Nelson, Keith Daniel |
|---|---|
| License Number | 99027654A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Terre Haute |
| State | IN |