The holder whose full name is Pendergast, Kelley Rene,come from Bloomington IN,hold the Temp Mental Hlth Coun Permit license(NO.99006096A) which status is Superceded.
| Name | Pendergast, Kelley Rene |
|---|---|
| License Number | 99006096A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Bloomington |
| State | IN |