The holder whose full name is PENDERGRASS, DIANE LOUISE,come from DALE IN,hold the Registered Nurse license(NO.28104795A) which status is Expired.
| Name | PENDERGRASS, DIANE LOUISE |
|---|---|
| License Number | 28104795A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | DALE |
| State | IN |