The holder whose full name is Liberty, Diane Carandang,come from Lafayette IN,hold the CSR-Dentist license(NO.12010169B) which status is Expired.
| Name | Liberty, Diane Carandang |
|---|---|
| License Number | 12010169B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Lafayette |
| State | IN |