The holder whose full name is SHOOK, LAVINA FLORA,come from FORT WAYNE IN,hold the Registered Nurse license(NO.28094078A) which status is Expired.
Name | SHOOK, LAVINA FLORA |
---|---|
License Number | 28094078A |
License Type | Registered Nurse |
License Status | Expired |
City | FORT WAYNE |
State | IN |