The holder whose full name is MACK, DORIS HECKMAN,come from LAFAYETTE IN,hold the Registered Nurse license(NO.28021038A) which status is Expired.
| Name | MACK, DORIS HECKMAN |
|---|---|
| License Number | 28021038A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |