The holder whose full name is Blackburn, Denise A,come from Fort Wayne IN,hold the Registered Nurse license(NO.28069092A) which status is Active.
| Name | Blackburn, Denise A |
|---|---|
| License Number | 28069092A |
| License Type | Registered Nurse |
| License Status | Active |
| City | Fort Wayne |
| State | IN |