The holder whose full name is TALLMAN, MICHAEL G,come from BOISE ID,hold the Psychologist - Health Service Provider license(NO.20010271A) which status is Expired.
Name | TALLMAN, MICHAEL G |
---|---|
License Number | 20010271A |
License Type | Psychologist - Health Service Provider |
License Status | Expired |
City | BOISE |
State | ID |