The holder whose full name is TEITSMA, JACK A,come from GLEN ELLYN IL,hold the Psychologist license(NO.20041043A) which status is Expired.
| Name | TEITSMA, JACK A |
|---|---|
| License Number | 20041043A |
| License Type | Psychologist |
| License Status | Expired |
| City | GLEN ELLYN |
| State | IL |