The holder whose full name is WACHS, THEODORE D,come from LAFAYETTE IN,hold the Psychologist license(NO.20010153A) which status is Expired.
| Name | WACHS, THEODORE D |
|---|---|
| License Number | 20010153A |
| License Type | Psychologist |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |