The holder whose full name is BLACK, EDITH PEARL,come from Goshen IN,hold the Registered Nurse license(NO.28047801A) which status is Expired.
| Name | BLACK, EDITH PEARL |
|---|---|
| License Number | 28047801A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Goshen |
| State | IN |