The holder whose full name is Allen, Beverly Sue,come from Fishers IN,hold the Temp Mental Hlth Coun Permit license(NO.99012742A) which status is Superceded.
| Name | Allen, Beverly Sue |
|---|---|
| License Number | 99012742A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Fishers |
| State | IN |