The holder whose full name is Basore, Kendall E.A.,come from Bloomington IN,hold the Temp Social Worker Permit license(NO.99043968A) which status is Superceded.
| Name | Basore, Kendall E.A. |
|---|---|
| License Number | 99043968A |
| License Type | Temp Social Worker Permit |
| License Status | Superceded |
| City | Bloomington |
| State | IN |