The holder whose full name is LONG, GRACE M,come from PALMER AK,hold the Psychologist - Health Service Provider license(NO.20040770A) which status is Expired.
| Name | LONG, GRACE M |
|---|---|
| License Number | 20040770A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | PALMER |
| State | AK |