The holder whose full name is WIDENER, ANNA LOUISE,come from LAFAYETTE IN,hold the Speech Pathologist license(NO.22000819A) which status is Expired.
| Name | WIDENER, ANNA LOUISE |
|---|---|
| License Number | 22000819A |
| License Type | Speech Pathologist |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |