The holder whose full name is Johnson, Mary Belle,come from Fort Wayne IN,hold the Temp Mental Hlth Coun Permit license(NO.99010316A) which status is Expired.
Name | Johnson, Mary Belle |
---|---|
License Number | 99010316A |
License Type | Temp Mental Hlth Coun Permit |
License Status | Expired |
City | Fort Wayne |
State | IN |