The holder whose full name is LUGO, DIANA R,come from GRANGER IN,hold the Psychologist - Health Service Provider license(NO.20041390A) which status is Expired.
| Name | LUGO, DIANA R |
|---|---|
| License Number | 20041390A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | GRANGER |
| State | IN |