The holder whose full name is SHAW, EMILY ALICE,come from FORT WAYNE IN,hold the Registered Nurse license(NO.28067539A) which status is Expired.
| Name | SHAW, EMILY ALICE |
|---|---|
| License Number | 28067539A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |