The holder whose full name is Providence, Cheryl Jepsen,come from Muncie IN,hold the Psychologist - Health Service Provider license(NO.20040835A) which status is Expired.
Name | Providence, Cheryl Jepsen |
---|---|
License Number | 20040835A |
License Type | Psychologist - Health Service Provider |
License Status | Expired |
City | Muncie |
State | IN |