The holder whose full name is Icenogle, Tina,come from Indianapolis IN,hold the Registered Nurse license(NO.28196208A) which status is Active.
| Name | Icenogle, Tina |
|---|---|
| License Number | 28196208A |
| License Type | Registered Nurse |
| License Status | Active |
| City | Indianapolis |
| State | IN |