The holder whose full name is BLACK, JULIE ANN,come from NEW HAVEN IN,hold the Registered Nurse license(NO.28048739A) which status is Expired.
| Name | BLACK, JULIE ANN |
|---|---|
| License Number | 28048739A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | NEW HAVEN |
| State | IN |