The holder whose full name is Mattox, Jacqueline Susan,come from Indianapolis IN,hold the Registered Nurse license(NO.28162275A) which status is Expired.
| Name | Mattox, Jacqueline Susan |
|---|---|
| License Number | 28162275A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Indianapolis |
| State | IN |