The holder whose full name is INGRAM, KENNETH RAY,come from Fort Wayne IN,hold the Registered Nurse license(NO.28113528A) which status is Expired.
| Name | INGRAM, KENNETH RAY |
|---|---|
| License Number | 28113528A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |