The holder whose full name is Madsen, James David,come from Granger IN,hold the Psychologist - Health Service Provider license(NO.20040865A) which status is Expired Non-Renewable.
| Name | Madsen, James David |
|---|---|
| License Number | 20040865A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired Non-Renewable |
| City | Granger |
| State | IN |