The holder whose full name is Butcher, Nick G.,come from Bloomington IN,hold the Temp Mental Hlth Coun Permit license(NO.99057914A) which status is Expired.
| Name | Butcher, Nick G. |
|---|---|
| License Number | 99057914A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Expired |
| City | Bloomington |
| State | IN |