The holder whose full name is Lutz, Jacob Thomas,come from Fort Wayne IN,hold the Temporary Psychologist Permit license(NO.99052874A) which status is Expired.
| Name | Lutz, Jacob Thomas |
|---|---|
| License Number | 99052874A |
| License Type | Temporary Psychologist Permit |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |