The holder whose full name is PHILLIPS, ANITA DIANE,come from Portage IN,hold the Licensed Practical Nurse license(NO.27023177A) which status is Expired.
| Name | PHILLIPS, ANITA DIANE |
|---|---|
| License Number | 27023177A |
| License Type | Licensed Practical Nurse |
| License Status | Expired |
| City | Portage |
| State | IN |