The holder whose full name is Balke, Charles Patrick,come from Pierceton IN,hold the Temporary Psychologist Permit license(NO.99043634A) which status is Superceded.
| Name | Balke, Charles Patrick |
|---|---|
| License Number | 99043634A |
| License Type | Temporary Psychologist Permit |
| License Status | Superceded |
| City | Pierceton |
| State | IN |