The holder whose full name is BLACK, MARLENE M,come from ENON OH OH,hold the Registered Nurse license(NO.28039699A) which status is Expired.
| Name | BLACK, MARLENE M |
|---|---|
| License Number | 28039699A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | ENON OH |
| State | OH |