The holder whose full name is LONG, VIRGINIA PETRICH,come from LAFAYETTE IN,hold the Registered Nurse license(NO.28017377A) which status is Expired.
| Name | LONG, VIRGINIA PETRICH |
|---|---|
| License Number | 28017377A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |