The holder whose full name is Stout, Jacob A.,come from La Fontaine IN,hold the Certified Nurse Aide license(NO.CNA1104920) which status is Expired.
| Name | Stout, Jacob A. |
|---|---|
| License Number | CNA1104920 |
| License Type | Certified Nurse Aide |
| License Status | Expired |
| City | La Fontaine |
| State | IN |