The holder whose full name is Lellis, Jacquelin Diane,come from Mishawaka IN,hold the Registered Nurse license(NO.28156867A) which status is Expired.
| Name | Lellis, Jacquelin Diane |
|---|---|
| License Number | 28156867A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Mishawaka |
| State | IN |