The holder whose full name is HUXHOLD, ETHEL LAVON,come from BLOOMFIELD IN,hold the Registered Nurse license(NO.28032074A) which status is Expired.
| Name | HUXHOLD, ETHEL LAVON |
|---|---|
| License Number | 28032074A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | BLOOMFIELD |
| State | IN |