The holder whose full name is TABERNACKI, DAWN M.,come from LAKE VILLAGE IN,hold the Certified Nurse Aide license(NO.CNA0701622) which status is Expired.
| Name | TABERNACKI, DAWN M. |
|---|---|
| License Number | CNA0701622 |
| License Type | Certified Nurse Aide |
| License Status | Expired |
| City | LAKE VILLAGE |
| State | IN |