The holder whose full name is SHAFER WAGNER, LISA KAY,come from PINE VILLAGE IN,hold the Registered Nurse license(NO.28125562A) which status is Active.
| Name | SHAFER WAGNER, LISA KAY |
|---|---|
| License Number | 28125562A |
| License Type | Registered Nurse |
| License Status | Active |
| City | PINE VILLAGE |
| State | IN |