The holder whose full name is BIENEK, JACQUELINE ANN,come from SOLSBERRY IN,hold the Psychologist - Health Service Provider license(NO.20040917A) which status is Expired.
| Name | BIENEK, JACQUELINE ANN |
|---|---|
| License Number | 20040917A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | SOLSBERRY |
| State | IN |