The holder whose full name is WALLIN, LISA MARIE,come from FORT WAYNE IN,hold the Registered Nurse license(NO.28097304A) which status is Expired.
| Name | WALLIN, LISA MARIE |
|---|---|
| License Number | 28097304A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |