The holder whose full name is STOUT, JULIE C,come from BLOOMINGTON IN,hold the Psychologist - Health Service Provider license(NO.20041065A) which status is Expired.
| Name | STOUT, JULIE C |
|---|---|
| License Number | 20041065A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | BLOOMINGTON |
| State | IN |