The holder whose full name is BOUSSOM, BARBARA JO,come from BRISTOL IN,hold the Licensed Practical Nurse license(NO.27015241A) which status is Expired.
| Name | BOUSSOM, BARBARA JO |
|---|---|
| License Number | 27015241A |
| License Type | Licensed Practical Nurse |
| License Status | Expired |
| City | BRISTOL |
| State | IN |