The holder whose full name is HEINY, JODY LYNN,come from GAS CITY IN,hold the SLP Support Personnel license(NO.29000863A) which status is Expired.
| Name | HEINY, JODY LYNN |
|---|---|
| License Number | 29000863A |
| License Type | SLP Support Personnel |
| License Status | Expired |
| City | GAS CITY |
| State | IN |