The holder whose full name is COLLINSWORTH, ANN MARIE,come from LAFAYETTE IN,hold the Registered Nurse license(NO.28051561A) which status is Expired.
| Name | COLLINSWORTH, ANN MARIE |
|---|---|
| License Number | 28051561A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |