The holder whose full name is GENTRY, TIMOTHY WAYNE,come from MARINA CA,hold the Licensed Practical Nurse license(NO.27020023A) which status is Expired.
| Name | GENTRY, TIMOTHY WAYNE |
|---|---|
| License Number | 27020023A |
| License Type | Licensed Practical Nurse |
| License Status | Expired |
| City | MARINA |
| State | CA |