The holder whose full name is DIMICK, KENNETH M,come from Indianapolis IN,hold the Psychologist - Health Service Provider license(NO.20090076A) which status is Expired.
| Name | DIMICK, KENNETH M |
|---|---|
| License Number | 20090076A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | Indianapolis |
| State | IN |