The holder whose full name is IKEDA, MATTHEW S,come from MUNSTER IN,hold the Psychologist - Health Service Provider license(NO.20090160A) which status is Expired.
| Name | IKEDA, MATTHEW S |
|---|---|
| License Number | 20090160A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | MUNSTER |
| State | IN |