The holder whose full name is DeBerry, Diane Marie,come from Lafayette IN,hold the APN Prescriptive Authority license(NO.70000207A) which status is Expired.
| Name | DeBerry, Diane Marie |
|---|---|
| License Number | 70000207A |
| License Type | APN Prescriptive Authority |
| License Status | Expired |
| City | Lafayette |
| State | IN |