The holder whose full name is HEINEMAN, CHARLES E,come from FORT WAYNE IN,hold the Psychologist license(NO.20010004A) which status is Expired.
| Name | HEINEMAN, CHARLES E |
|---|---|
| License Number | 20010004A |
| License Type | Psychologist |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |