The holder whose full name is WITUCKI, MARTY PAUL,come from SOUTH BEND IN,hold the Psychologist license(NO.20040874A) which status is Expired.
| Name | WITUCKI, MARTY PAUL |
|---|---|
| License Number | 20040874A |
| License Type | Psychologist |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |