The holder whose full name is Carlson, Tabitha Ann,come from Grand Island NE,hold the Psychologist - Health Service Provider license(NO.20042326A) which status is Expired.
Name | Carlson, Tabitha Ann |
---|---|
License Number | 20042326A |
License Type | Psychologist - Health Service Provider |
License Status | Expired |
City | Grand Island |
State | NE |