The holder whose full name is Fuller, Charissa Jane,come from Bloomington IN,hold the Registered Nurse license(NO.28166898A) which status is Expired.
| Name | Fuller, Charissa Jane |
|---|---|
| License Number | 28166898A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Bloomington |
| State | IN |