The holder whose full name is BANTHAM, ALICE,come from La Fontaine IN,hold the Registered Nurse license(NO.28008030A) which status is Expired.
| Name | BANTHAM, ALICE |
|---|---|
| License Number | 28008030A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | La Fontaine |
| State | IN |