The holder whose full name is Puckett, Dallas,come from Columbia City IN,hold the Certified Nurse Aide license(NO.CNA1100378) which status is Expired.
| Name | Puckett, Dallas |
|---|---|
| License Number | CNA1100378 |
| License Type | Certified Nurse Aide |
| License Status | Expired |
| City | Columbia City |
| State | IN |