The holder whose full name is Wagner, Kimberly Sue,come from Bloomington IN,hold the Psychologist license(NO.20042059A) which status is Expired.
| Name | Wagner, Kimberly Sue |
|---|---|
| License Number | 20042059A |
| License Type | Psychologist |
| License Status | Expired |
| City | Bloomington |
| State | IN |