The holder whose full name is COLLUM, JEFFERY JEROME,come from GARY IN,hold the Licensed Practical Nurse license(NO.27041434A) which status is Expired.
| Name | COLLUM, JEFFERY JEROME |
|---|---|
| License Number | 27041434A |
| License Type | Licensed Practical Nurse |
| License Status | Expired |
| City | GARY |
| State | IN |