The holder whose full name is PETERSON, J VINCENT,come from MISHAWAKA IN,hold the Psychologist - Health Service Provider license(NO.20090120A) which status is Expired.
| Name | PETERSON, J VINCENT |
|---|---|
| License Number | 20090120A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | MISHAWAKA |
| State | IN |