The holder whose full name is BLACK, CARLA SUE,come from Beech Grove IN,hold the Registered Nurse license(NO.28062058A) which status is Active.
| Name | BLACK, CARLA SUE |
|---|---|
| License Number | 28062058A |
| License Type | Registered Nurse |
| License Status | Active |
| City | Beech Grove |
| State | IN |