The holder whose full name is Black, Abra Dianne,come from Indianapolis IN,hold the Licensed Practical Nurse license(NO.27063818A) which status is Expired.
| Name | Black, Abra Dianne |
|---|---|
| License Number | 27063818A |
| License Type | Licensed Practical Nurse |
| License Status | Expired |
| City | Indianapolis |
| State | IN |