The holder whose full name is LACE, ADDIE LILLIAN,come from ELKHART IN,hold the Licensed Practical Nurse license(NO.27005082A) which status is Expired.
| Name | LACE, ADDIE LILLIAN |
|---|---|
| License Number | 27005082A |
| License Type | Licensed Practical Nurse |
| License Status | Expired |
| City | ELKHART |
| State | IN |