The holder whose full name is QUINN TAN, JACQUELINE MARY,come from GRANGER IN,hold the Psychologist - Health Service Provider license(NO.20041167A) which status is Active.
| Name | QUINN TAN, JACQUELINE MARY |
|---|---|
| License Number | 20041167A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | GRANGER |
| State | IN |