The holder whose full name is Jordan, Augustus E.,come from Middlebury VT,hold the Psychologist - Health Service Provider license(NO.20040744A) which status is Expired.
| Name | Jordan, Augustus E. |
|---|---|
| License Number | 20040744A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | Middlebury |
| State | VT |