The holder whose full name is LONG, ASSILENE,come from GARY IN,hold the Cosmetologist license(NO.BC02064892) which status is Expired Non-Renewable.
| Name | LONG, ASSILENE |
|---|---|
| License Number | BC02064892 |
| License Type | Cosmetologist |
| License Status | Expired Non-Renewable |
| City | GARY |
| State | IN |