The holder whose full name is LONG, JACQUELINE LEA,come from FT LEAVENWORTH KS,hold the Registered Nurse license(NO.28091370A) which status is Expired.
| Name | LONG, JACQUELINE LEA |
|---|---|
| License Number | 28091370A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | FT LEAVENWORTH |
| State | KS |