The holder whose full name is FARGO, BEVERLY LOU,come from Fort Wayne IN,hold the Registered Nurse license(NO.28108379A) which status is Expired.
| Name | FARGO, BEVERLY LOU |
|---|---|
| License Number | 28108379A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |