The holder whose full name is LONG, DONNA ELAINE,come from WINONA LAKE IN,hold the Registered Nurse license(NO.28053268A) which status is Expired.
| Name | LONG, DONNA ELAINE |
|---|---|
| License Number | 28053268A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | WINONA LAKE |
| State | IN |