The holder whose full name is Moffitt, WIilliam A,come from TERRE HAUTE IN,hold the Psychologist - Health Service Provider license(NO.20040428A) which status is Expired.
| Name | Moffitt, WIilliam A |
|---|---|
| License Number | 20040428A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |