The holder whose full name is Baume, Derek J.,come from Carmel IN,hold the Temporary Psychologist Permit license(NO.99020629A) which status is Superceded.
Name | Baume, Derek J. |
---|---|
License Number | 99020629A |
License Type | Temporary Psychologist Permit |
License Status | Superceded |
City | Carmel |
State | IN |