The holder whose full name is HERZOG, ALICE MARY,come from LAFAYETTE IN,hold the Registered Nurse license(NO.28002932A) which status is Expired.
| Name | HERZOG, ALICE MARY |
|---|---|
| License Number | 28002932A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |