The holder whose full name is Lewellyn, Anna Marie,come from Salem IN,hold the Licensed Practical Nurse license(NO.27047187A) which status is Expired.
| Name | Lewellyn, Anna Marie |
|---|---|
| License Number | 27047187A |
| License Type | Licensed Practical Nurse |
| License Status | Expired |
| City | Salem |
| State | IN |