The holder whose full name is Wagner, Laura Lee,come from Rensselaer IN,hold the Temp Mental Hlth Coun Permit license(NO.99046576A) which status is Superceded.
| Name | Wagner, Laura Lee |
|---|---|
| License Number | 99046576A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Rensselaer |
| State | IN |