The holder whose full name is Pancner, Kristin Rose,come from Fort Wayne IN,hold the Psychologist - Health Service Provider license(NO.20040783A) which status is Expired.
Name | Pancner, Kristin Rose |
---|---|
License Number | 20040783A |
License Type | Psychologist - Health Service Provider |
License Status | Expired |
City | Fort Wayne |
State | IN |