The holder whose full name is Lane, David Alan,come from Rensselaer IN,hold the Registered Nurse license(NO.28119317A) which status is Suspended.
| Name | Lane, David Alan |
|---|---|
| License Number | 28119317A |
| License Type | Registered Nurse |
| License Status | Suspended |
| City | Rensselaer |
| State | IN |