The holder whose full name is EGLEN, JAN ALAN,come from TERRE HAUTE IN,hold the Psychologist - Health Service Provider license(NO.20040023A) which status is Active.
| Name | EGLEN, JAN ALAN |
|---|---|
| License Number | 20040023A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | TERRE HAUTE |
| State | IN |