The holder whose full name is BLACK, MARY ALICE,come from KENNEWICK WA,hold the Registered Nurse license(NO.28042426A) which status is Expired.
| Name | BLACK, MARY ALICE |
|---|---|
| License Number | 28042426A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | KENNEWICK |
| State | WA |