The holder whose full name is Lane, Penny Carol,come from Thorntown IN,hold the Nurse Midwife license(NO.09000137A) which status is Active.
| Name | Lane, Penny Carol |
|---|---|
| License Number | 09000137A |
| License Type | Nurse Midwife |
| License Status | Active |
| City | Thorntown |
| State | IN |