The holder whose full name is Burton, Loren Jo,come from Granger IN,hold the Psychologist - Health Service Provider license(NO.20040808A) which status is Active.
| Name | Burton, Loren Jo |
|---|---|
| License Number | 20040808A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Granger |
| State | IN |