The holder whose full name is MATA, DELORES,come from FORT WAYNE IN,hold the Certified Nurse Aide license(NO.CNA0404652) which status is Expired.
| Name | MATA, DELORES |
|---|---|
| License Number | CNA0404652 |
| License Type | Certified Nurse Aide |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |