The holder whose full name is VANAUSDALL, IDA MARIE,come from LEBANON IN,hold the Registered Nurse license(NO.28031101A) which status is Expired.
| Name | VANAUSDALL, IDA MARIE |
|---|---|
| License Number | 28031101A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | LEBANON |
| State | IN |