The holder whose full name is Frederick, Mark Allen,come from Terre Haute IN,hold the Temporary Psychologist Permit license(NO.99058546A) which status is Expired.
| Name | Frederick, Mark Allen |
|---|---|
| License Number | 99058546A |
| License Type | Temporary Psychologist Permit |
| License Status | Expired |
| City | Terre Haute |
| State | IN |