The holder whose full name is Johnson, Andrea Lee,come from Wabash IN,hold the Licensed Practical Nurse license(NO.27043715A) which status is Probation/Expired.
Name | Johnson, Andrea Lee |
---|---|
License Number | 27043715A |
License Type | Licensed Practical Nurse |
License Status | Probation/Expired |
City | Wabash |
State | IN |