The holder whose full name is SOUTHALL, DELORES E,come from WEST LAFAYETTE IND IN,hold the Registered Nurse license(NO.28029165A) which status is Expired.
Name | SOUTHALL, DELORES E |
---|---|
License Number | 28029165A |
License Type | Registered Nurse |
License Status | Expired |
City | WEST LAFAYETTE IND |
State | IN |