The holder whose full name is POTUCEK, DIANA LEE,come from LAPORTE IN,hold the Registered Nurse license(NO.28034112A) which status is Expired.
| Name | POTUCEK, DIANA LEE |
|---|---|
| License Number | 28034112A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | LAPORTE |
| State | IN |