The holder whose full name is LONG, JOHN B,come from SOUTH BEND IN,hold the Psychologist license(NO.20010147A) which status is Expired.
| Name | LONG, JOHN B |
|---|---|
| License Number | 20010147A |
| License Type | Psychologist |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |