The holder whose full name is Masty, Amanda Marie,come from Portage IN,hold the Licensed Practical Nurse license(NO.27057130A) which status is Expired.
| Name | Masty, Amanda Marie |
|---|---|
| License Number | 27057130A |
| License Type | Licensed Practical Nurse |
| License Status | Expired |
| City | Portage |
| State | IN |