The holder whose full name is Hare, Matthew Wayne,come from Sweetser IN,hold the Temp Mental Hlth Coun Permit license(NO.99001597A) which status is Superceded.
| Name | Hare, Matthew Wayne |
|---|---|
| License Number | 99001597A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Sweetser |
| State | IN |