The holder whose full name is CHAMPLIN, ANNETTE REVAE,come from SAN DIEGO CA,hold the Registered Nurse license(NO.28057403A) which status is Expired.
| Name | CHAMPLIN, ANNETTE REVAE |
|---|---|
| License Number | 28057403A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | SAN DIEGO |
| State | CA |