The holder whose full name is BAILEY, PAUL C,come from SOUTH BEND IN,hold the Psychologist - Health Service Provider license(NO.20050022A) which status is Expired.
| Name | BAILEY, PAUL C |
|---|---|
| License Number | 20050022A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |