The holder whose full name is GENTRY, GEORGE M,come from EVANSTON IL,hold the Psychologist - Health Service Provider license(NO.20090130A) which status is Expired.
Name | GENTRY, GEORGE M |
---|---|
License Number | 20090130A |
License Type | Psychologist - Health Service Provider |
License Status | Expired |
City | EVANSTON |
State | IL |