The holder whose full name is DEFAUW, ALICE AUGUSTA,come from MISHAWAKA IN,hold the Licensed Practical Nurse license(NO.27000141A) which status is Expired.
| Name | DEFAUW, ALICE AUGUSTA |
|---|---|
| License Number | 27000141A |
| License Type | Licensed Practical Nurse |
| License Status | Expired |
| City | MISHAWAKA |
| State | IN |