The holder whose full name is JACOBS, CAROL KLIE,come from FORT WAYNE IN,hold the Registered Nurse license(NO.28079295A) which status is Expired.
| Name | JACOBS, CAROL KLIE |
|---|---|
| License Number | 28079295A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |