The holder whose full name is URBAN, EVELYN AGNES,come from FORT WAYNE IN,hold the Registered Nurse license(NO.28057407A) which status is Expired.
| Name | URBAN, EVELYN AGNES |
|---|---|
| License Number | 28057407A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |