The holder whose full name is CHURCH, REX WARREN,come from MUNCIE IN,hold the Psychologist - Health Service Provider license(NO.20040314A) which status is Expired.
| Name | CHURCH, REX WARREN |
|---|---|
| License Number | 20040314A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | MUNCIE |
| State | IN |