The holder whose full name is FORD, CHARLOTTE ANN,come from TERRE HAUTE IN,hold the Registered Nurse license(NO.28049922A) which status is Expired.
| Name | FORD, CHARLOTTE ANN |
|---|---|
| License Number | 28049922A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |