The holder whose full name is LONG, JAMES THERON,come from MISSOULA MT,hold the Physician license(NO.01036731A) which status is Expired Non-Renewable.
| Name | LONG, JAMES THERON |
|---|---|
| License Number | 01036731A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | MISSOULA |
| State | MT |