The holder whose full name is Modica, Christopher Anthony,come from Muncie IN,hold the Temporary Psychologist Permit license(NO.99052668A) which status is Superceded.
| Name | Modica, Christopher Anthony |
|---|---|
| License Number | 99052668A |
| License Type | Temporary Psychologist Permit |
| License Status | Superceded |
| City | Muncie |
| State | IN |