The holder whose full name is Jenuwine, Michael J.,come from South Bend IN,hold the Temporary Psychologist Permit license(NO.99006580A) which status is Superceded.
Name | Jenuwine, Michael J. |
---|---|
License Number | 99006580A |
License Type | Temporary Psychologist Permit |
License Status | Superceded |
City | South Bend |
State | IN |