The holder whose full name is Ingersoll, Michael J.,come from OAK PARK IL,hold the Psychologist - Health Service Provider license(NO.20040810A) which status is Active.
| Name | Ingersoll, Michael J. |
|---|---|
| License Number | 20040810A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | OAK PARK |
| State | IL |