The holder whose full name is Ellis, Jacqueline,come from Gosport IN,hold the Licensed Practical Nurse license(NO.27020124A) which status is Expired.
| Name | Ellis, Jacqueline |
|---|---|
| License Number | 27020124A |
| License Type | Licensed Practical Nurse |
| License Status | Expired |
| City | Gosport |
| State | IN |