The holder whose full name is Martin, Candace,come from Fort Wayne IN,hold the Psychologist - Health Service Provider license(NO.20040983A) which status is Expired.
| Name | Martin, Candace |
|---|---|
| License Number | 20040983A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |