The holder whose full name is DIZE, ALICE LOUISE,come from Fort Wayne IN,hold the Registered Nurse license(NO.28049096A) which status is Expired.
| Name | DIZE, ALICE LOUISE |
|---|---|
| License Number | 28049096A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |