The holder whose full name is BLACK, LISA DIANE,come from Fayetteville NC,hold the Registered Nurse license(NO.28110659A) which status is Expired.
| Name | BLACK, LISA DIANE |
|---|---|
| License Number | 28110659A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Fayetteville |
| State | NC |