The holder whose full name is WALLACE, KRISTEN KAYE,come from SOUTH BEND IN,hold the Registered Nurse license(NO.28131616A) which status is Expired.
| Name | WALLACE, KRISTEN KAYE |
|---|---|
| License Number | 28131616A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |