The holder whose full name is Fountain, DeShazier,come from Plainfield IN,hold the Registered Nurse license(NO.28174126A) which status is Active.
| Name | Fountain, DeShazier |
|---|---|
| License Number | 28174126A |
| License Type | Registered Nurse |
| License Status | Active |
| City | Plainfield |
| State | IN |