The holder whose full name is FUGELSO, FANNY AXTELL,come from BLOOMINGTON IN,hold the Registered Nurse license(NO.28042595A) which status is Expired.
| Name | FUGELSO, FANNY AXTELL |
|---|---|
| License Number | 28042595A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | BLOOMINGTON |
| State | IN |