The holder whose full name is Vanderwielen, Adena R.,come from Lafayette IN,hold the Psychologist - Health Service Provider license(NO.20042323A) which status is Expired.
Name | Vanderwielen, Adena R. |
---|---|
License Number | 20042323A |
License Type | Psychologist - Health Service Provider |
License Status | Expired |
City | Lafayette |
State | IN |