The holder whose full name is Wallace, Lanita Mae,come from MISHAWAKA IN,hold the Registered Nurse license(NO.28035280A) which status is Expired.
| Name | Wallace, Lanita Mae |
|---|---|
| License Number | 28035280A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | MISHAWAKA |
| State | IN |