The holder whose full name is MOORE, JASON T,come from South Bend IN,hold the Temp Social Worker Permit license(NO.99003242A) which status is Superceded.
| Name | MOORE, JASON T |
|---|---|
| License Number | 99003242A |
| License Type | Temp Social Worker Permit |
| License Status | Superceded |
| City | South Bend |
| State | IN |