The holder whose full name is Cook, Diane Sue,come from Goshen IN,hold the Medical Residency Permit license(NO.11005311A) which status is Expired.
| Name | Cook, Diane Sue |
|---|---|
| License Number | 11005311A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Goshen |
| State | IN |