The holder whose full name is Stage, Alan Kirk,come from Fort Wayne IN,hold the Temporary Psychologist Permit license(NO.99051495A) which status is Superceded.
| Name | Stage, Alan Kirk |
|---|---|
| License Number | 99051495A |
| License Type | Temporary Psychologist Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |