The holder whose full name is Phillips, Jackie Deanne,come from Borden IN,hold the Licensed Practical Nurse license(NO.27031400A) which status is Expired.
| Name | Phillips, Jackie Deanne |
|---|---|
| License Number | 27031400A |
| License Type | Licensed Practical Nurse |
| License Status | Expired |
| City | Borden |
| State | IN |