The holder whose full name is Davis, Timothy Leland,come from Bloomington IN,hold the Psychologist - Health Service Provider license(NO.20042069A) which status is Expired.
| Name | Davis, Timothy Leland |
|---|---|
| License Number | 20042069A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | Bloomington |
| State | IN |