The holder whose full name is Black, Heather Carlene,come from Peru IN,hold the Certified Nurse Aide license(NO.CNA0806273) which status is Expired.
| Name | Black, Heather Carlene |
|---|---|
| License Number | CNA0806273 |
| License Type | Certified Nurse Aide |
| License Status | Expired |
| City | Peru |
| State | IN |