The holder whose full name is NELSON, JERRY WILLIAM,come from NEWPORT KY,hold the Psychologist - Health Service Provider license(NO.20040431A) which status is Expired.
| Name | NELSON, JERRY WILLIAM |
|---|---|
| License Number | 20040431A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | NEWPORT |
| State | KY |