The holder whose full name is Prince, Lisa Dianne,come from Valparaiso IN,hold the Temporary Psychologist Permit license(NO.99007611A) which status is Superceded.
| Name | Prince, Lisa Dianne |
|---|---|
| License Number | 99007611A |
| License Type | Temporary Psychologist Permit |
| License Status | Superceded |
| City | Valparaiso |
| State | IN |