The holder whose full name is Sullivan, Kimberly Deus,come from Fishers IN,hold the Temp Mental Hlth Coun Permit license(NO.99048057A) which status is Superceded.
| Name | Sullivan, Kimberly Deus |
|---|---|
| License Number | 99048057A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Fishers |
| State | IN |