The holder whose full name is Johnson, Benetta E.,come from Indianapolis IN,hold the Temporary Psychologist Permit license(NO.99034346A) which status is Superceded.
Name | Johnson, Benetta E. |
---|---|
License Number | 99034346A |
License Type | Temporary Psychologist Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |