The holder whose full name is PURVIS, DOLORES SALLOT,come from FORT WAYNE IN,hold the Registered Nurse license(NO.28009687A) which status is Expired.
| Name | PURVIS, DOLORES SALLOT |
|---|---|
| License Number | 28009687A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |