The holder whose full name is DOHERTY, ANNE T,come from WEST TERRE HAUTE IN,hold the Psychologist - Health Service Provider license(NO.20010149A) which status is Expired.
| Name | DOHERTY, ANNE T |
|---|---|
| License Number | 20010149A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | WEST TERRE HAUTE |
| State | IN |