The holder whose full name is MOISOFF, CARL STEPHEN,come from CROWN POINT IN,hold the Psychologist - Health Service Provider license(NO.20040404A) which status is Active.
Name | MOISOFF, CARL STEPHEN |
---|---|
License Number | 20040404A |
License Type | Psychologist - Health Service Provider |
License Status | Active |
City | CROWN POINT |
State | IN |