The holder whose full name is PIENING, ALLEN CHARLES,come from VILLA PARK IL,hold the Psychologist license(NO.20040398A) which status is Revoked.
| Name | PIENING, ALLEN CHARLES |
|---|---|
| License Number | 20040398A |
| License Type | Psychologist |
| License Status | Revoked |
| City | VILLA PARK |
| State | IL |