The holder whose full name is MARTIN, LORIS NAGAWIECK,come from FORT WAYNE IN,hold the Registered Nurse license(NO.28019475A) which status is Expired.
| Name | MARTIN, LORIS NAGAWIECK |
|---|---|
| License Number | 28019475A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |