The holder whose full name is KELLEY, DEANE M,come from JASPER TX,hold the Psychologist - Health Service Provider license(NO.20040883A) which status is Expired.
| Name | KELLEY, DEANE M |
|---|---|
| License Number | 20040883A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | JASPER |
| State | TX |